Mediastinal pseudocyst associated with chronic pleural effusions.
نویسندگان
چکیده
We present a patient who had chronic, bilateral pleural effusions without evidence of parenchymal, retrocardiac or mediastinal masses. A CAT scan of the abdomen and chest revealed the extension of a large abdominal pseudocyst through the diaphragm into the posterior mediastinum. The pseudocyst resolved with conservative management.
منابع مشابه
Pancreatic mediastinal pseudocyst presenting as a posterior mediastinal mass with recurrent pleural effusions: a case report and review of the literature
INTRODUCTION A rare complication of chronic pancreatitis is the formation of single or multiple mediastinal pseudocysts, which are fueled from the pancreas through anatomical openings of the diaphragm. We present a rare case with a difficult diagnosis, treatment and potentially catastrophic complications. CASE PRESENTATION A 53-year-old Caucasian man was referred to our hospital for further i...
متن کاملPleuropulmonary complications of pancreatitis.
a notable exception. A patient with this type of effusion, complicated by a spontaneous bronchopleural fistula and then by an empyema, is reported. The literature relating to pancreatic enzyme-rich pleural effusions (pathognomonic of pancreatitis) is reviewed. Of several possible mechanisms involved in pathogenesis, transdiaphragmatic lymphatic transfer of pancreatic enzymes, intrapleural ruptu...
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Pancreaticopleural fistula is a rare complication of acute and chronic pancreatitis caused by an inflammatory or traumatic injury to the pancreatic duct. The ensuing thoracic collections may be in the form of pleural effusions, pleural pseudocysts or mediastinal pseudocysts. Treatment options may be conservative or surgical. We present a case of post endoscopic retrograde cholangio-pancreatogra...
متن کاملThree cases of mediastinal pancreatic pseudocysts
A rare complication of acute or chronic pancreatitis is the formation of a mediastinal pancreatic pseudocyst (MPP), which is caused by tracking of pancreatic fluids through anatomical openings of the diaphragm into the mediastinum. Herein, we report the imaging characteristics of three cases of this condition. Our results revealed three features in common: (i) the connection between the mediast...
متن کاملSuccessful resolution of a mediastinal pseudocyst and pancreatic pleural effusion by endoscopic nasopancreatic drainage.
CONTEXT A mediastinal pseudocyst is an unusual complication of acute and chronic pancreatitis. The ideal form of management is controversial, and various successful therapeutic interventions including surgical resection, internal or external drainage, and non-operative radiological drainage techniques have been described. Successful resolution of a mediastinal pseudocyst with endoscopic transpa...
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عنوان ژورنال:
- Chest
دوره 97 4 شماره
صفحات -
تاریخ انتشار 1990