Spontaneous Resolution of Mediastinal Pancreatic Pseudocyst

Leechawengwong, Manoon; Berger, H; Romeu, José Carlos

doi:10.1378/chest.75.5.632

Cited by 20 publications

(8 citation statements)

References 8 publications

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“…As a consequence, extrapancreatic fluid collections, rich in proteolytic enzymes, fat, and necrotic debris accumulate outside the boundary of the gland surrounded by a thick fibrous capsule. While spontaneous resolution of pseudocysts has been reported,2 this is unlikely if there is evidence of chronic pancreatitis, pancreatic duct abnormalities exist, or if ultrasound imaging suggests a thick walled lesion 3…”

Section: Discussion Of Further Managementmentioning

confidence: 99%

Respiratory compromise relieved by laparotomy

2000

Postgraduate Medical Journal

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Section: Discussion Of Further Managementmentioning

confidence: 99%

Respiratory compromise relieved by laparotomy

2000

Postgraduate Medical Journal

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“…However, this procedure car ries the risk of intrapericardial bleeding, possibly by ero sion of adjacent vessels [13], In 3 cases, no attempt ai drainage was made. One of these resolved spontaneously without recurrence [16], while the other 2 [1,19] died before drainage could be effected.…”

Section: Discussionmentioning

confidence: 99%

Pancreatic Pseudocyst of the Mediastinum: Case Report and Review of the Literature

Czerniak¹,

Galland²,

Gibson

et al. 1985

Dig Surg

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A pancreatic pseudocyst with mediastinal extension is reported and 27 patients previously reported are reviewed. The most common presenting symptoms are abdominal or chest pain and dysphagia. The findings of a mediastinal mass associated with pancreatitis strongly suggest that pancreatic aetiology should be sought. Careful radiological assessment is most important. Internal drainage of the mediastinal portion of the pseudocyst is the procedure of choice.

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“…Symptoms are very unspecific and vary from new onset dyspnoea, cough, unspecific thoracic pain, weight loss and dysphagia. Diagnosis is usually made with help of CT, but also with magnetic resonance imaging 1 2 3 4 5 6…”

Section: Answermentioning

confidence: 99%

“…Although spontaneous resolution under conservative treatment is very rare, it should be considered in stable patients under close supervision 2 3 4…”

Section: Answermentioning

confidence: 99%