Pancreatic Pseudocysts in the Mediastinal Space: An Urban Legend?
| Autor: | Tanja Fusi-Schmidhauser, Jerome Blanc |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Pancreatic pseudocyst lcsh:Medicine dyspnoea Chest pain Trismus trismus Internal Medicine medicine Retropharyngeal space business.industry lcsh:R Mediastinum Articles medicine.disease Dysphagia Mediastinitis digestive system diseases respiratory tract diseases medicine.anatomical_structure Pancreatitis mediastinal pancreatic pseudocysts Radiology medicine.symptom business Chronic pancreatitis mediastinitis |
| Zdroj: | European Journal of Case Reports in Internal Medicine European Journal of Case Reports in Internal Medicine (2019) |
| ISSN: | 2284-2594 |
| Popis: | Pancreatic pseudocysts are a frequent complication of chronic pancreatitis. Nonetheless, they seldom extend beyond the peripancreatic region. However, migration towards the mediastinum may cause heterogeneous and non-specific symptoms, such as dysphagia, chest pain and dyspnoea, which depend on the localization and extension of the cysts. We present the case of a patient with chronic pancreatitis who was admitted to our ward for low-grade fever and mild dyspnoea and who rapidly developed bilateral laterocervical swelling associated with acute dyspnoea and trismus. A total body CT scan showed multiple abdominal pancreatic pseudocysts, one of which had migrated to the mediastinum and towards the retropharyngeal space. Clinicians should always consider the possibility of extra-pancreatic pseudocysts in patients with known pancreatitis so that uncommon clinical presentations with a potentially fatal outcome will be recognized. LEARNING POINTS Mediastinal pancreatic pseudocysts are a rare manifestation of acute and chronic pancreatitis. The clinical presentation of mediastinal pancreatic pseudocysts is variable, and they may rarely have a fatal outcome. |
| Databáze: | OpenAIRE |
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