Abstract
Introduction: Pseudocyst is a common complication after attack of acute and chronic pancreatitis. Cysts which are >6 cm in size and are persistent after period of 6 weeks don’t resolve usually and may require surgical management whereas smaller cysts may be managed with conservative management. However a mediastinal pseudocyst is known but rare complication after pancreatitis[1][10]
Case Description: We describe case report of a 38 years old male presenting with abdominal pain and weakness and intermittent breathlessness. Patient had history of multiple hospital admissions for pancreatitis when he was managed conservatively. Detailed clinical evaluation and after CXR, HRCT Thorax patient was diagnosed to have mediastinal pseudocyst.
Conclusion: Mediastinal pseudocyst is a rare complication of acute/chronic pancreatitis. A differential diagnosis of mediastinal pseudocyst should be kept in mind in patient with mediastinal mass with history of pancreatitis.
Keywords: Mediastinal pseudocyst, pancreatitis, mediastinal mass.
References
- Johnson RH Jr, Owensby LC, Vargas GM, Garcia-Rinaldi R: Pancreatic pseudocyst of the mediastinum. Ann Thorac Surg 1986,41:210-212.
- Sabiston book of surgery 16/e
- Topa L, Laszlo F, Sahin P, Pozsar J: Endoscopic transgastric drainage of a pancreatic pseudocyst with mediastinal and cervical extensions. Gastrointest Endosc2006, 64:460-463.
- Gupta, J. C. Munoz, P. Garg, G. Masri, N. S. Nahman Jr., and L. R. Lambiase, “Mediastinal pancreatic pseudocyst—a case report and review of the literature,” Med GenMed Medscape General Medicine, vol. 9, no. 2, article 8, 2007.
- Moorthy, A. Raveesha, and K. Prabhakar, “Pancreaticopleural fistula and mediastinal pseudocyst: an unusual presentation of acute pancreatitis,” Annals ofThoracic Medicine, vol. 2, no. 3,pp. 122–123, 2007.
- Casson AG, Inculet R: Pancreatic pseudocyst: an uncommon mediastinal mass. Chest 1990, 98:717-718.
- Chettupuzha AP, Harikumar R, Kumar SK, Thomas V, Devi SR: Pancreatic pseudocyst presenting as odynophagia. Indian J Gastroenterol2004, 23:27-28.
- Rose EA, Haider M, Yang SK, Telmos AJ: Mediastinal extension of a pancreatic pseudocyst. Am J Gastroenterol2000, 95:3638-3639.
- V. Ajmera and T. A. Judge, “Mediastinal extension of pancreatic pseudocyst—a case with review of topic and management guidelines,” American Journal of Therapeutics, vol. 19, no. 5, pp. e152–e156, 2012.
- K. Bhasin, S. S. Rana, M. Nanda et al., “Endoscopic management of pancreatic pseudocysts at atypical locations,” Surgical Endoscopy and Other Interventional Techniques, vol. 24, no. 5,pp. 1085–1091, 2010.
Corresponding Author
Prachiti S Gokhe
Department of General Surgery, Grant Government Medical College and Sir J. J. Group of Hospitals, Mumbai, India