Download PDF
CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2016; 07(01): 020-023
DOI: 10.4103/0976-5042.180095
Case Report
Society of Gastrointestinal Endoscopy of India

Mediastinal pancreatic pseudocyst

Mukesh Nasa
Consultant, Institute of Digestive and Hepatobiliary Sciences, Medanta - The Medicity, Gurgaon, Haryana, India
,
Narendra Choudhary
Consultant, Institute of Digestive and Hepatobiliary Sciences, Medanta - The Medicity, Gurgaon, Haryana, India
,
Gaurav Patil
1   DNB Fellow, Institute of Digestive and Hepatobiliary Sciences, Medanta - The Medicity, Gurgaon, Haryana, India
,
Rajesh Puri
2   Director, Institute of Digestive and Hepatobiliary Sciences, Medanta - The Medicity, Gurgaon, Haryana, India
› Author Affiliations
Further Information

Publication History

Publication Date:
26 September 2019 (online)

Also available at
  PDF Download Permissions and Reprints

Abstract

Pancreatic pseudocyst is a well-known complication of both acute and chronic pancreatitis. It is a collection of fluid due to acute or chronic inflammation of pancreas or from injury. A pseudocyst with mediastinal extension is a rare entity. There are only few reports of endoscopic transesophageal drainage of mediastinal pseudocysts. We present a case of mediastinal pseudocyst in a 45-year-old male who presented with dysphagia, weight loss, fever, and productive cough which was managed endoscopically by endoscopic ultrasound-guided transesophageal aspiration.

Key words

Endoscopic ultrasound - mediastinal pseudocyst - pancreatitis
 

  • References

  • 1 Vosoghi M, Sial S, Garrett B, Feng J, Lee T, Stabile BE, et al. EUS-guided pancreatic pseudocyst drainage: Review and experience at Harbor-UCLA medical center. MedGenMed 2002;4:2.
  • 2 Vitas GJ, Sarr MG. Selected management of pancreatic pseudocysts: Operative versus expectant management. Surgery 1992;111:123-30.
  • 3 Balthazar EJ. Pancreatitis. In: Gore RM, Levine MS, editors. Text Book of Gastrointestinal Radiology. 2nd ed. Philadelphia: WB Saunders; 2002. p. 1785-7.
  • 4 Jeung MY, Gasser B, Gangi A, Bogorin A, Charneau D, Wihlm JM, et al. Imaging of cystic masses of the mediastinum. Radiographics 2002;22:S79-93.
  • 5 Komtong S, Chanatrirattanapan R, Kongkam P, Rerknimitr R, Kullavanijaya P. Mediastinal pseudocyst with pericardial effusion and dysphagia treated by endoscopic drainage. JOP 2006;7:405-10.
  • 6 Lee FY, Wang YT, Poh SC. Congestive heart failure due to a pancreatic pseudocyst. Cleve Clin J Med 1994;61:141-3.
  • 7 Tan MH, Kirk G, Archibold P, Kennedy P, Regan MC. Cardiac compromise due to a pancreatic mediastinal pseudocyst. Eur J Gastroenterol Hepatol 2002;14:1279-82.
  • 8 Yasuda H, Ino Y, Igarashi H, Arita Y, Nakamuta M, Sumii T, et al. A case of pancreatic pleural effusion and mediastinal pancreatic pseudocyst: Management by a somatostatin analogue octreotide. Pancreas 1999;19:410-2.
  • 9 Ranjan P, Bansal R, Sachdeva M, Kumar M. Pancreaticopleural fistula: Report of two cases and review of literature. J Dig Endosc 2013;4:123-7.
  • 10 Bardia A, Stoikes N, Wilkinson NW. Mediastinal pancreatic pseudocyst with acute airway obstruction. J Gastrointest Surg 2006;10:146-50.
  • 11 Bhasin DK, Rana SS, Rao C, Gupta R, Kang M, Sinha SK, et al. Clinical presentation, radiological features, and endoscopic management of mediastinal pseudocysts: Experience of a decade. Gastrointest Endosc 2012;76:1056-60.
  • 12 Sugimoto S, Yamagishi Y, Higuchi H, Kanai T. Endoscopic ultrasound-guided drainage for a mediastinal pancreatic pseudocyst. Intern Med 2014;53:2651-2.
  • 13 Gornals JB, Loras C, Mast R, Botargues JM, Busquets J, Castellote J. Endoscopic ultrasound-guided transesophageal drainage of a mediastinal pancreatic pseudocyst using a novel lumen-apposing metal stent. Endoscopy 2012;44 Suppl 2:E211-2.