Mediastinal extension of a pancreatic pseudocyst

• Type of Material: Article
• Authors: Adil Omer, St. Vincent Charity Medical Center; Ester Engelman, NYC Health and Hospitals; Justin McClain, Emory University
• Language: English
• Date: 2018-09-14
• Publisher: Elsevier/ EduRad Publishing
• Publication Version: Final Published Version
• Copyright Statement: © 2018 The Authors. Published by Elsevier Inc. on behalf of University of Washington.
• License: Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International
• Final Published Version (URL): http://dx.doi.org/10.1016/j.radcr.2018.08.016
• Title of Journal or Parent Work: Journal of Radiology Case Reports
• ISSN: 1943-0922
• Volume: 13
• Issue: 6
• Start Page: 1192
• End Page: 1194
• Keywords: Mediastinal extension; Pancreatitis; Pancreatic Pseudocyst; Pseudocyst
• Research Categories: Health Sciences, Rehabilitation and Therapy; Health Sciences, Radiology

Abstract

A 50-year-old man with a history of chronic pancreatitis due to alcoholism presented with dyspnea, at which time he was diagnosed with pleural effusions, treated, and discharged. Two months later, he was readmitted with hemoptysis and abdominal pain. CT and MRI of the chest demonstrated a mediastinal cystic mass that communicated with the retroperitoneum. Ultrasound-guided aspiration of the cystic mass revealed high levels of amylase, confirming that the mass was a rare pancreatic pseudocyst extending into the mediastinum.