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KMID : 0985520140190030137
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Korean Journal of Pancreas and Biliary Tract
2014 Volume.19 No. 3 p.137 ~ p.141
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Endoscopic Ultrasound-Guided Transesophageal Drainage of a Mediastinal Pancreatic Pseudocyst
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Kim Hyo-Jung
Kim Myung-Hwan
Park Do-Hyun
Kwon Hye-Mi
Park So-Jung
Choi Eun-Ji
Choi Jun-Hyuk
Kim Hyoung-Jung
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Abstract
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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.
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KEYWORD
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Mediastinal pseudocyst, Pancreatitis, Endoscopic ultrasound-guided transesophageal drainage
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