Endoscopic Ultrasound-Guided Transesophageal Drainage of a Mediastinal Pancreatic Pseudocyst.
- Author:
Hyo Jung KIM
1
;
Myung Hwan KIM
;
Do Hyun PARK
;
Hye Mi KWON
;
So Jung PARK
;
Eun Ji CHOI
;
Joon Hyuk CHOI
;
Hyoung Jung KIM
Author Information
1. Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Mediastinal pseudocyst;
Pancreatitis;
Endoscopic ultrasound-guided transesophageal drainage
- MeSH:
Chest Pain;
Deglutition Disorders;
Drainage*;
Follow-Up Studies;
Humans;
Male;
Mediastinum;
Middle Aged;
Pancreatic Ducts;
Pancreatic Pseudocyst*;
Pancreatitis;
Pleural Effusion;
Recurrence;
Ultrasonography
- From:Korean Journal of Pancreas and Biliary Tract
2014;19(3):137-141
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pancreatic pseudocyst is a common complication of acute/chronic pancreatitis, but extension of a pancreatic pseudocyst into the mediastinum is a rare occurrence. In this report, we described a case of a 62-year-old male with necrotizing pancreatitis presenting with chest pain and dysphagia caused by a mediastinal pseudocyst. Endoscopic retrograde pancreatography revealed pancreatic duct disruption and leaks. A mediastinal pseudocyst was successfully drained by endoscopic ultrasound (EUS)-guided transesophageal approach. Chest pain and dysphagia disappeared swiftly with drainage. Associated pancreatic pseudocyst at tail was managed by EUS-guided cystogastrostomy and pleural effusion was controlled by percutaneous drainage, respectively. In a follow-up period of 3 months, there has been no recurrence of symptoms and signs. Although currently EUS-guided transesophageal approach was done in the selected cases, this procedure is technically feasible, less invasive and more effective than surgical approach.
