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HOME > J Yeungnam Med Sci > Volume 34(2); 2017 > Article
Case Report Mediastinal pancreatic pseudocyst naturally drained by esophageal fistula
Soo Ho Park, Seung Keun Park, Sang Hyun Kim, Won Kyu Choi, Beom Jin Shim, Hee Ug Park, Chan Woo Jung, Jae Won Choi
Journal of Yeungnam Medical Science 2017;34(2):254-259
DOI: https://doi.org/10.12701/yujm.2017.34.2.254
Published online: December 31, 2017
Division of Gastrology, Department of Internal Medicine, Maryknoll Medical Center, Busan, Korea. pskgloria@naver.com
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Mediastinal pancreatic pseudocyst is a rare complication of acute or chronic pancreatitis. Pleural effusion and pneumonia are two of the most common thoracic complications from pancreatic disease, while pancreaticopleural fistula with massive pleural effusion and extension of pseudocyst into the mediastinum is a rare complication of the thorax from pancreatic disease. To the best of our knowledge, there have been no case reports of mediastinal pancreatic pseudocyst-induced esophageal fistula in Korea to date. Here in, we report a case about 43-year-old man of mediastinal pancreatic pseudocyst-induced esophageal fistula presenting with chest pain radiating toward the back and progressive dysphagia. The diagnosis was confirmed by an esophagogastroduodenoscopy and abdomen computed tomography (CT). The patient was treated immediately using a conservative method; subsequently, within 3 days from treatment initiation, symptoms-chest pain and dysphagia-disappeared. In a follow-up gastroscopy 7 days later and abdomen CT 12 days later, mediastinal pancreatic pseudocyst showed signs of improvement, and esophageal fistula disappeared without any complications.

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JYMS : Journal of Yeungnam Medical Science