A Case of Mediastinal Pancreatic Pseudocyst

Masahiro Fujita, Masanori Ozawa, Takahiro Nishioka, Hitoshi Ohyama, Hiroshi Moriya, Kohei Ochiai, Gaku Shindoh, Hiroyasu Sakuraba

Department of Surgery, Hakodate Municipal Hospital

A case of medisastinal pancreatic pseudocyst in a 42-year-old man is reported. He had a history of reccurent abdominal pain after every time he drank, which was caused by relapsing pancreatitis. He was admitted to a hospital on March 17, 1994, complaining of epigastralgia. Computed tomography and magnetic resonance imaging revealed water density fluid collection in the posterior mediastinum. He was referred to Hakodate Municipal Hospital on June 27, 1994. After conservative treatment for pancreatitis, CT revealed that the mediastinal tumor had disappeared and a cystic tumor in the cavity of the bursa omentum had decreased. Endoscopic retrograde pancreatography showed that a pancreatic pseudocyst and an internal pancreatic fistula had developed from the pancreatic duct to the mediastinum. Distal pancreatectomy was performed on September 1, 1994. The postoperative course has been uneventful during 16 months after discharge.

Key words
mediastinal pancreatic pseudocyst, internal pancreatic fistula, pancreatic pleural ettusions

Reprint requests
Masahiro Fijita Department of Surgery, Hakodate Municipal Hospital
2-33, Yayoicho, Hakodate, 040 JAPAN

Accepted
September 11, 1996

To read the PDF file you will need Abobe Reader installed on your computer.