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- Title
A pancreatic pseudocyst sitting in the mediastinum—A case report of an unusual occurrence.
- Authors
Amin, Said; Shahab, Aymen; Khan, Asad Ali; Gul, Mudasir; Liaqat, Aiman; Ullah, Hamid; Ali, Kashif; Qazi, Abdur Rahman
- Abstract
Pancreatitis can produce several complications such as pseudocyst, which can happen in acute and chronic pancreatitides. Pseudocysts are typically found in the abdomen but can rarely extend into the mediastinum. Atypical symptoms such as dyspnea, dysphagia, coughing, vomiting, abdominal or chest pain, and hemoptysis are usually the notable complaints. CT scan, MRI, and endoscopic ultrasound are valuable diagnostic modalities. Drainage and surgical removal of the pseudocyst are the treatment options. Herein, we outline the case of a young female with episodic chest and epigastric discomfort, dysphagia, and weight loss. Previously, she was incorrectly diagnosed with gastroesophageal reflux disease and peptic ulcer. A mediastinal pseudocyst secondary to chronic pancreatitis was found to be the cause. The patient underwent surgical removal of the pseudocyst and a pancreaticojejunostomy. Significant improvement was noticed at follow-up. This article highlights the possibility of such unusual conditions and the importance of a proper assessment while treating patients with epigastric pain.
- Subjects
MEDIASTINUM; ENDOSCOPIC ultrasonography; MEDICAL drainage; CHEST pain; GASTROESOPHAGEAL reflux; PEPTIC ulcer; CHRONIC pancreatitis
- Publication
SAGE Open Medical Case Reports, 2024, p1
- ISSN
2050-313X
- Publication type
Case Study
- DOI
10.1177/2050313X241262139