Mediastinal extension of a complicated pancreatic pseudocyst; a case report and literature review

Sadat, Umar; Jah, Asif; Huguet, Emmanuel

doi:10.1186/1752-1947-1-12

Cited by 18 publications

(19 citation statements)

References 10 publications

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“…Dissection of pseudocyst along the course of splenic vessels can cause formation of intrasplenic pseudocysts. [2] Mediastinal extension of pancreatic pseudocysts can lead to pleural or pericardial effusion, cardiac compression due to mass effect and dysphagia. The ultrasound findings of perinephric involvement of pancreatic pseudocyst can be indistinguishable from a perinephric abscess, but preserved renal function and elevated amylase can be definitive in diagnosis of the pseudocyst.…”

Section: Resultsmentioning

confidence: 99%

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Pancreatic Pseudocysts and Their Unusual Locations: A Prospective Study

R¹,

Amith²,

Singh³

et al. 2016

jebmh

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The aim of our study was to detect the various sites of fluid collections in acute and chronic pancreatitis. MATERIAL AND METHODS A prospective study of 72 adult patients, (45 male patients and 27 female patients) with Acute and Chronic pancreatitis was undertaken from January 2011 to December 2015. CT scans of 72 patients with acute and chronic pancreatitis were reviewed. Of these in the patients with pseudocyst formation (28 of 72 patients), the location of intrapancreatic, peripancreatic and distal fluid collections in the setting of acute and chronic pancreatitis was studied. RESULTS Fluid collections developed in 28 of 72 patients (21 male patients and 7 female patients) for an incidence of 38.9%. Incidence of pseudocyst formation was high in age group of 50-60 yrs. (32.1%), retroperitoneal space according to location (39.2%) and alcohol was noted to be the most common aetiology (60.8%). CONCLUSION Most common locations are the omental bursa and the retroperitoneal space. Pseudocysts in rare sites notably splenic parenchyma, mediastinum and left perinephric space were noted in four patients.

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Section: Resultsmentioning

confidence: 99%

“…[3] Since its first description in 1951, approximately 50 cases have been reported in the world literature. [2] Splenic parenchymal involvement occurs rarely. Heider presented a review of 238 pseudocysts and found only fourteen of them affecting the spleen.…”

Section: Resultsmentioning

confidence: 99%

Pancreatic Pseudocysts and Their Unusual Locations: A Prospective Study

R¹,

Amith²,

Singh³

et al. 2016

jebmh

View full text Add to dashboard Cite

show abstract

“…Por otra parte, el pseudoquiste pancreatico mediastínico es una complicación infrecuente. Se produce como consecuencia de la ruptura del conducto pancreático hacia el espacio retrope- ritoneal y la acumulación de las secreciones pancreáticas en el mediastino (3).…”

Section: Discussionunclassified

“…El paso del líquido se produce a través de hiato esofágico o aórtico, dando lugar a la formación de un pseudoquiste en mediastino posterior que se puede extender hacia el espacio pleural o la nuca. Los síntomas clínicos son inespecíficos y los pacientes pueden referir dolor torácico, disfagia o reflujo gastroesofágico (3,5). En nuestro paciente la sospecha clínica se debió únicamente a la elevación mantenida de amilasa y lipasa pancreática.…”

Section: Discussionunclassified