Extension of Pancreatic Pseudocysts into the Neck: CT and MR  Imaging Findings

Karantanas, Apostolos H.; Sandris, V.; Tsikrika, Alexandra; Karakousis, K.; Karaiskou, Evangelia

doi:10.2214/ajr.180.3.1800843

Cited by 14 publications

(10 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A different entity is a pseudocyst arising from the posterior mediastinum as a result of acute pancreatitis [20-26]. In those cases extension of pancreatic necrosis into the mediastinum was possible via the aorta or the esophageal hiatus, through the diaphragmatic crura, or through erosion in the diaphragm.…”

Section: Case Presentationmentioning

confidence: 99%

“…To the best of our knowledge, only a few cases [2-19] have been reported in the literature, all of them arising from the anterior mediastinum. A different phenomenon are the pseudocysts arising from the posterior mediastinum as a result of acute pancreatitis [20-26]. Ectopic tissue arising from the mediastinum might contain other organs like spleen and endometrium.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Ectopic pancreatic pseudocyst and cyst presenting as a cervical and mediastinal mass - case report and review of the literature

et al. 2013

View full text Add to dashboard Cite

Ectopic pancreas in the mediastinum is extremely rare. We are reporting on a case of a twenty two year old woman who presented to our clinic with a large cervical mass. The CT scan revealed a cystic lesion in the anterior mediastinum. The patient underwent surgical resection by cervical approach. A Cystic mass with pseudocysts, cysts and complete pancreatic tissue were found in pathology. There were no signs of pancreatitis or malignancy. No recurrence was observed after a follow up of four years. We reviewed the case reports describing this rare condition in the medical literature.We conclude that the possibility of ectopic pancreatic tissue should be included in the differential diagnosis of anterior mediastinal cystic mass, though as a remote possibility. Surgery is probably needed for the diagnosis and treatment. Posterior mediastinal pseudocyst is a different entity associated with acute pancreatitis. In those cases surgery is not recommended. Our third conclusion is that pancreatic tissue should be actively sought, if a structure resembling a pseudocyst is found in an unexpected location.Virtual slidesThe virtual slide(s) for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/1849369005957671

show abstract

Section: Case Presentationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Ectopic pancreatic pseudocyst and cyst presenting as a cervical and mediastinal mass - case report and review of the literature

et al. 2013

View full text Add to dashboard Cite

show abstract

“…Immunosuppression due to diabetes mellitus, chemotherapy, renal failure and steroid therapy are other important predisposing factors in the development of deep neck space abscess 6–11. In the literature, there have been reports of extension of pseudocyst complicating an acute or chronic pancreatitis into the mediastinum, through the openings in the diaphragm, both in the adult and paediatric age groups; however, presence of a prevertebral abscess secondary to an infected pancreatic pseudocyst as a complication of pancreatitis in a diabetic patient has not been reported 12 13…”

Section: Discussionmentioning

confidence: 99%

“…MRI with gadolinium contrast can be carried out for accurate soft tissue involvement assessement 4. High amylase levels in pus determine pancreatic pseudocyst as contributory aetiological factor in the development of prevertebral abscess 12 13 17…”

Section: Discussionmentioning

confidence: 99%

Acute prevertebral abscess secondary to infected pancreatic pseudocyst

et al. 2014

View full text Add to dashboard Cite

We report a case of a middle aged, man with diabetes who presented with dysphagia and odynophagia. On evaluation, he was diagnosed to have an acute prevertebral abscess with an unusual aetiology, an infected pseudocyst of pancreas. Contrast-enhanced CT revealed an enhancing collection in the prevertebral space extending to the retrogastric space and communicating with the body of the pancreas via the oesophageal hiatus. Transoral incision and drainage of the prevertebral abscess were performed. Nasogastric tube was placed in the prevertebral space for continuous drainage and daily irrigation. Supportive intravenous broad spectrum antibiotic therapy along with the surgical intervention led to the resolution of the prevertebral abscess and the infected pancreatic pseudocyst.

show abstract

“…to the neck. 13 For pancreatic pseudocysts, today it is usually based on findings at CT, MR imaging or ultrasonography, but also combined with information from surgery and autopsy. On gross inspection of the pseudocyst wall, it is usually not possible to identify the connection with the main pancreatic duct although, by injection study or endoscopic pancreatography, a connection can be demonstrated in many cases.…”

mentioning

confidence: 99%

Endoscopic management of pancreatic pseudocyst

Sharon¹

2017

Int Surg J

View full text Add to dashboard Cite

INTRODUCTIONPancreatic pseudocyst is a well-known complication of acute or chronic pancreatitis. Management of pancreatic pseudocyst has changed from traditional surgical management to less invasive techniques and conservative management. Pancreatic pseudocysts are collections of pancreatic fluid contained by a wall of fibrous tissue, ABSTRACTBackground: Pancreatic pseudocyst is a well-known complication of acute or chronic pancreatitis, with a higher incidence in the latter. It represents 80-90% of cystic lesions of the pancreas. Benign and malignant cystic neoplasms constitute 10-13%, congenital and retention cysts comprising the remainder. Diagnosis is accomplished most often by computed tomographic scanning, by endoscopic retrograde cholangiopancreatography, or by ultrasound, and a rapid progress in the improvement of diagnostic tools enables detection with high sensitivity and specificity. Endoscopic drainage provides a good alternative or supplement to a surgical treatment of pancreatic pseudocysts. Methods: This is a prospective study of 26 patients diagnosed to have Pancreatic Pseudocyst and treated by endoscopic drainage from 1 st June 2008 to 30 th September 2010 in St. John's Medical College and Hospital, Bangalore. Transabdominal and endoscopic ultrasound, CT scan were used to determine the number, size, volume, wall thickness, location of pancreatic pseudocysts, the extent of pancreatic parenchymal disease, the nature of the main pancreatic duct and its relationship to the cyst, the presence of portal hypertension, venous occlusion, arterial anomalies and pseudoaneurysm. The indications for endoscopic drainage were symptomatic and/or bigger than 6 cm in major diameter pancreatic pseudocysts with a close opposition to the gastric or duodenal wall. Results: There were 26 patients with pancreatic pseudocyst and all of them are located in lesser sac. It mainly affects the middle-aged males with alcohol as the main etiology. Out of 26 patients 24 underwent endoscopic drainage and 2 patients were abandoned in view of vessel between the cyst wall and stomach which was picked up by EUS. Out of 26 patients, 5 developed infection which was proven by culture. Endoscopic cystogastrostomy was performed in 21 patients (80.8%), endoscopic cystogastrostomy with nasocystic drainage performed in 3 patients (11.5%), and abandoned in 2 patients. 2 patients developed bleeding, and managed conservatively. No intervention done. 5 patients underwent re-procedure (3 underwent nasocystic drainage, 1 aspiration, and the other cystogastrostomy), in view of recollection. Conclusions: Endoscopic drainage is safe and effective in experienced hand, less morbidity, cost effective, short hospital stay, can be repeated.

show abstract

Extension of Pancreatic Pseudocysts into the Neck: CT and MR Imaging Findings

Cited by 14 publications

References 5 publications

Ectopic pancreatic pseudocyst and cyst presenting as a cervical and mediastinal mass - case report and review of the literature

Ectopic pancreatic pseudocyst and cyst presenting as a cervical and mediastinal mass - case report and review of the literature

Acute prevertebral abscess secondary to infected pancreatic pseudocyst

Endoscopic management of pancreatic pseudocyst

Contact Info

Product

Resources

About