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Case Reports
. 2017 Aug 31;89(4):41-47.
doi: 10.5604/01.3001.0010.3911.

Large pancreatic pseudocyst penetrating into posterior mediastinum

Adam Roman Markowski  1 , Elżbieta Brodalka  1 , Katarzyna Guzinska-Ustymowicz  2 , Konrad Zaręba  3 , Dariusz Cepowicz  3 , Bogusław Kędra  3
Affiliations
Case Reports

Large pancreatic pseudocyst penetrating into posterior mediastinum

Adam Roman Markowski et al. Pol Przegl Chir. .

Abstract

We report a rare case of a large mediastinal pancreatic pseudocyst compressing the left atrium and the esophagus and causing dyspnea, palpitations, and emesis. Chest radiograph was non-diagnostic, esophagogastroduodenoscopy showed diffuse extrinsic compression of the distal esophagus and gastric corpus, but a definitive diagnosis was confirmed by computed tomography. We decided to perform surgery due to the recurrence of the pancreatic pseudocyst, a history of unsuccessful radiologically guided external drainage a few years earlier, and a very large diameter of the pseudocyst causing acute cardio-pulmonary distress syndrome.

Keywords: Pancreatic pseudocyst; alcohol abuse; pancreatitis; posterior mediastinum.

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