Pancreatic Pseudocysts in the Mediastinal Space: An Urban Legend?

Blanc, Jerome and Fusi-Schmidhauser, Tanja (2019) Pancreatic Pseudocysts in the Mediastinal Space: An Urban Legend? European Journal of Case Reports in Internal Medicine, 6 (9). ISSN 2284-2594

document (3).pdf - Published Version

Download (867kB) | Preview
Official URL:


Pancreatic pseudocysts are a frequent complication of chronic pancreatitis. Nonetheless, they seldom extend beyond the peripancreatic region. However, migration towards the mediastinum may cause heterogeneous and non-specific symptoms, such as dysphagia, chest pain and dyspnoea, which depend on the localization and extension of the cysts. We present the case of a patient with chronic pancreatitis who was admitted to our ward for low-grade fever and mild dyspnoea and who rapidly developed bilateral laterocervical swelling associated with acute dyspnoea and trismus. A total body CT scan showed multiple abdominal pancreatic pseudocysts, one of which had migrated to the mediastinum and towards the retropharyngeal space. Clinicians should always consider the possibility of extra-pancreatic pseudocysts in patients with known pancreatitis so that uncommon clinical presentations with a potentially fatal outcome will be recognized.

Item Type: Article
Uncontrolled Keywords: Chronic pancreatitis, mediastinal pancreatic pseudocysts, dyspnoea, trismus, mediastinitis
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale)
Depositing User: Chiara D'Arpa
Date Deposited: 18 Nov 2020 20:49
Last Modified: 18 Nov 2020 20:49

Actions (login required)

View Item View Item