Atypical extensive pancreatic pseudocyst with hemorrhage in a hemodialysis patient

Taniguchi, Yoshinori; Osakabe, Yuki; Terada, Yoshio

doi:10.1016/j.radcr.2020.06.018

Cited by 3 publications

(5 citation statements)

References 6 publications

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“…Some reports have described endoscopic ultrasound‐ and CT‐guided pseudocyst drainage. 8 These are minimally invasive direct drainage methods for mediastinal pseudocysts and may be effective for cases of suspected infection or abscess. However, these techniques only drain the cystic cavity; the pancreatic duct fistula must close over time.…”

Section: Discussionmentioning

confidence: 99%

“…Twelve reports have described mediastinal pseudocysts treated by ERP as the initial drainage technique (Table 2). 1,7–10 Of these, only one case could not be controlled by ERP alone. Surgery was performed in this case because it pierced the bronchus and the patient's respiratory condition deteriorated 9 .…”

Section: Discussionmentioning

confidence: 99%

“…These signs were not observed in our patient, and we considered that surgical treatment was not indicated. Some reports have described endoscopic ultrasound‐ and CT‐guided pseudocyst drainage 8 . These are minimally invasive direct drainage methods for mediastinal pseudocysts and may be effective for cases of suspected infection or abscess.…”

Section: Discussionmentioning

confidence: 99%

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Successful treatment of mediastinal pancreatic pseudocyst and pancreatic pleural effusion with endoscopic pancreatic duct drainage: A case report

et al. 2022

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An 81‐year‐old man with chronic pancreatitis was being treated with a protease inhibitor. He developed an acute exacerbation of chronic pancreatitis and dyspnea. Contrast‐enhanced computed tomography showed disruption of the main pancreatic duct, a cystic lesion connecting the mediastinum to the main pancreatic duct, and left pleural effusion. We diagnosed a pancreatic pseudocyst, mediastinal pancreatic pseudocyst, and pancreatic pleural effusion. Endoscopic retrograde pancreatography showed leakage of contrast medium from the pancreatic body; furthermore, a cystic cavity extending to the mediastinum through a pancreatic duct fistula was visualized. An endoscopic transpapillary nasopancreatic drainage tube was placed in the cystic cavity. Computed tomography showed that the mediastinal pseudocyst and pleural effusion had disappeared. Endoscopic transpapillary pancreatic duct drainage may be useful when a connection between the main pancreatic duct and a mediastinal pseudocyst is confirmed by imaging.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Successful treatment of mediastinal pancreatic pseudocyst and pancreatic pleural effusion with endoscopic pancreatic duct drainage: A case report

et al. 2022

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“…Pancreatic pseudocyst (PPC) is a localized fluid collection within or adjacent to the pancreas, enclosed by a non-epithelialized wall. It is the most common pancreatic cystic lesion, representing 75% to 80% of all cystic lesions of the pancreas [ 1 ]. The treatment options for PPCs include percutaneous drainage, surgical intervention, and endoscopic drainage.…”

Section: Introductionmentioning

confidence: 99%

Endoscopic Combined Drainage of a Giant and Multiple Pancreatic Pseudocysts: A Case Report

Wei,

Liu,

et al. 2024

Cureus

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A pancreatic pseudocyst (PPC) is a frequent complication of pancreatitis, often stemming from alcohol, gallstones, or hyperlipidemia. Endoscopic treatment of PPC has become the mainstream treatment. A case of one giant and multiple small PPCs was observed, manifesting as repeated abdominal bloating, abdominal pain, nausea, and vomiting after meals. Initial computed tomography scans revealed the presence of multiple PPCs. Despite ineffective medical treatment, the pseudocysts progressively increased. In response, we conducted a combined endoscopic intervention, involving Hot AXIOS (Boston Scientific, Marlborough, MA) stenting through endoscopic ultrasound-guided transmural drainage (EUS-TMD) and the placement of the endoscopic nasopancreatic drainage (ENPD) mimic stent through endoscopic retrograde pancreatography (ERP). Remarkably, after nine months of postoperative follow-up, the patient had no discomfort symptoms and the cyst disappeared. We conducted a literature review on endoscopic combined drainage for PPCs, which is still controversial. Our presented case serves as a demonstration that endoscopic combined drainage can effectively and successfully manage giant and multiple PPCs.

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“… 5 , 6 Due to the pressure effects caused by its proximity to vital organs, fatal complications such as respiratory failure, airway obstruction, hypotensive shock, pleural effusion, and congestive cardiac failure may occur. 7 , 8 A delayed diagnosis and a higher risk of complications can result from an inadequate evaluation and workup. This paper reports a rare case of extensive mediastinal pseudocyst in a young female initially diagnosed with gastroesophageal reflux disease (GERD) and peptic ulcer disease (PUD) in other settings but did not improve with several months of pharmacotherapy.…”

Section: Introductionmentioning

confidence: 99%

A pancreatic pseudocyst sitting in the mediastinum—A case report of an unusual occurrence

Amin,

Shahab,

Khan

et al. 2024

SAGE Open Medical Case Reports

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Pancreatitis can produce several complications such as pseudocyst, which can happen in acute and chronic pancreatitides. Pseudocysts are typically found in the abdomen but can rarely extend into the mediastinum. Atypical symptoms such as dyspnea, dysphagia, coughing, vomiting, abdominal or chest pain, and hemoptysis are usually the notable complaints. CT scan, MRI, and endoscopic ultrasound are valuable diagnostic modalities. Drainage and surgical removal of the pseudocyst are the treatment options. Herein, we outline the case of a young female with episodic chest and epigastric discomfort, dysphagia, and weight loss. Previously, she was incorrectly diagnosed with gastroesophageal reflux disease and peptic ulcer. A mediastinal pseudocyst secondary to chronic pancreatitis was found to be the cause. The patient underwent surgical removal of the pseudocyst and a pancreaticojejunostomy. Significant improvement was noticed at follow-up. This article highlights the possibility of such unusual conditions and the importance of a proper assessment while treating patients with epigastric pain.

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Atypical extensive pancreatic pseudocyst with hemorrhage in a hemodialysis patient

Cited by 3 publications

References 6 publications

Successful treatment of mediastinal pancreatic pseudocyst and pancreatic pleural effusion with endoscopic pancreatic duct drainage: A case report

Successful treatment of mediastinal pancreatic pseudocyst and pancreatic pleural effusion with endoscopic pancreatic duct drainage: A case report

Endoscopic Combined Drainage of a Giant and Multiple Pancreatic Pseudocysts: A Case Report

A pancreatic pseudocyst sitting in the mediastinum—A case report of an unusual occurrence

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