Mediastinal pancreatic pseudocyst with isolated thoracic symptoms: a case report

doi:10.1186/1752-1947-2-180

Journal of Medical Case Reports

Volume 2

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Case report

Mediastinal pancreatic pseudocyst with isolated thoracic symptoms: a case report

Robert Drescher , Odo Köster and Carsten Lukas

Institute of Diagnostic and Interventional Radiology and Nuclear Medicine, Ruhr-University Bochum, St Josef University Hospital, Bochum, Germany

author email corresponding author email

Journal of Medical Case Reports 2008, 2:180doi:10.1186/1752-1947-2-180


Published:	27 May 2008

Abstract

Introduction

Mediastinal pancreatic pseudocysts represent a rare complication of acute or chronic pancreatitis.

Case presentation

A 55-year-old man with a history of chronic pancreatitis was admitted with intermittent dyspnea, dysphagia and weight loss. Chest X-ray, computed tomography and magnetic resonance imaging revealed a large paracardial pancreatic pseudocyst causing cardiac and esophageal compression.

Conclusion

Mediastinal pancreatic pseudocysts are a rare complication of chronic pancreatitis. These pseudocysts may lead to isolated thoracic symptoms. For accurate diagnostic and therapy planning, a multimodal imaging approach is necessary.