Year: 2017 | Month: July | Volume: 7 | Issue: 7 | Pages: 391-395
Mediastinal Pancreatic Pseudocyst
B. Ananda Rama Rao1, P. Sai Kumar2, M. Datta Prasad2
1Prof of Surgery; 2Residents in Surgery,
SVS Medical College, Mahabub Nagar, Telangana, India.
Corresponding Author: B. Ananda Rama Rao
A well-known complication of both acute and chronic pancreatitis is pancreatic pseudocyst. Acute or chronic inflammation or any injury of pancreas leads to collection of fluid. In very rare instances we find extension of pancreatic pseudocyst into the mediastinum. A mediastinal pseudocyst can cause symptoms due to compression or invasion of surrounding structures. Approximately only 50 cases of mediastinal extension of the pancreatic pseudocyst in the world literature are reported till date. We discuss here about a 50 years old male with complaints of pain abdomen, lower chest non cardiac pain, shortness of breath and gangrene of left hand finger tips since one month. Colour Doppler of upper limbs showed decreased flow in distal ulnar and radial arteries suggestive of? Digital vasculitis, which improved on treatment with heparin. Chest x-ray showed mass like lesion in the mediastinum. USG abdomen suggestive of 5X4 cm Pancreatic Pseudocyst. CT scan abdomen was done, which showed large Pancreatic Pseudocyst in retro gastric position. This patient was managed surgically. Mid line incision was given and Cyst fluid aspirated. Post operatively series of x-rays were taken and Eventually found that the pseudocyst disappeared completely after 6 months.
Key words: Acute Pancreatitis, Chronic pancreatitis, Pseudocyst, Mediastinal Extension,