CC BY 4.0 · European J Pediatr Surg Rep. 2019; 07(01): e24-e27
DOI: 10.1055/s-0039-1688802
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Pseudopancreatic Cyst Extending into the Mediastinum in a 7-Year-Old Child

Mostafa Kotb
1   Department of Pediatric Surgery, Alexandria University Faculty of Medicine, Alexandria, Egypt
,
Ahmed Oshiba
1   Department of Pediatric Surgery, Alexandria University Faculty of Medicine, Alexandria, Egypt
,
Khaled Ashour
1   Department of Pediatric Surgery, Alexandria University Faculty of Medicine, Alexandria, Egypt
› Institutsangaben
Weitere Informationen

Publikationsverlauf

26. Dezember 2018

31. März 2019

Publikationsdatum:
17. Juni 2019 (online)

Abstract

Mediastinal pseudopancreatic cyst (MPP) is the extension of a pancreatic pseudocyst through esophageal or aortic hiatus into the posterior mediastinum. It can produce a range of manifestations caused by compression by the cyst, for instance, odynophagia, dysphagia, pericardial, or pleural effusion. Here we report a case of MPP in a 7-year-old child who was presented with repeated chest infections and left pleural effusion. It was successfully drained by cystogastrostomy.

 
  • References

  • 1 Rose EA, Haider M, Yang SK, Telmos AJ. Mediastinal extension of a pancreatic pseudocyst. Am J Gastroenterol 2000; 95 (12) 3638-3639
  • 2 Wang SJ, Chen JJ, Changchien CS. , et al. Sequential invasions of pancreatic pseudocysts in pancreatic tail, hepatic left lobe, caudate lobe, and spleen. Pancreas 1993; 8 (01) 133-136
  • 3 Andrén-Sandberg A, Dervenis C. Pancreatic pseudocysts in the 21st century. Part I: classification, pathophysiology, anatomic considerations and treatment. JOP 2004; 5 (01) 8-24
  • 4 Gupta R, Munoz JC, Garg P, Masri G, Nahman Jr NS, Lambiase LR. Mediastinal pancreatic pseudocyst--a case report and review of the literature. MedGenMed 2007; 9 (02) 8
  • 5 Xu H, Zhang X, Christe A. , et al. Anatomic pathways of peripancreatic fluid draining to mediastinum in recurrent acute pancreatitis: visible human project and CT study. PLoS One 2013; 8 (04) e62025
  • 6 Laird CA, Clagett OT. Mediastinal pseudocyst of the pancreas in a child: report of a case. Surgery 1966; 60 (02) 465-469
  • 7 Galligan JJ, Williams HJ. Pancreatic pseudocysts in childhood. Unusual case with mediastinal extension. Am J Dis Child 1966; 112 (05) 479-482
  • 8 Kirchner SG, Heller RM, Smith CW. Pancreatic pseudocyst of the mediastinum. Radiology 1977; 123 (01) 37-42
  • 9 Sharma S, Puri S, Chaturvedi P, Kulshreshtha R, Baijal VN. Mediastinal pancreatic pseudocyst following traumatic rupture of diaphragm. Pediatr Radiol 1988; 18 (04) 337
  • 10 Crombleholme TM, deLorimier AA, Adzick NS. , et al. Mediastinal pancreatic pseudocysts in children. J Pediatr Surg 1990; 25 (08) 843-845
  • 11 Bonnard A, Lagausie P, Malbezin S, Sauvat E, Lemaitre AI, Aigrain Y. Mediastinal pancreatic pseudocyst in a child. A thoracoscopic approach. Surg Endosc 2001; 15 (07) 760
  • 12 Nabi Z, Ramchandani M, Lakhtakia S, Fugazza A, Chavan R, Reddy DN. Endoscopic transesophageal drainage of mediastinal pseudocyst in a child. J Pediatr Gastroenterol Nutr 2018; 66 (04) e109
  • 13 Drescher R, Köster O, Lukas C. Mediastinal pancreatic pseudocyst with isolated thoracic symptoms: a case report. J Med Case Reports 2008; 2: 180
  • 14 Brahmbhatt P, McKinney J, Litchfield J. , et al. Mediastinal pancreatic pseudocyst with hemorrhage and left gastric artery pseudoaneurysm, managed with left gastric artery embolization and placement of percutaneous trans-hepatic pseudocyst drainage. Gastroenterol Rep (Oxf) 2016; 4 (03) 241-245
  • 15 Segamalai D, Abdul Jameel AR, Kannan N. , et al. Mediastinal pseudocyst: varied presentations and management-experience from a tertiary referral care centre in India. HPB Surg 2017; 2017: 5247626
  • 16 Rockey DC, Cello JP. Pancreaticopleural fistula. Report of 7 patients and review of the literature. Medicine (Baltimore) 1990; 69 (06) 332-344
  • 17 Bhasin DK, Rana SS, Nanda M. , et al. Endoscopic management of pancreatic pseudocysts at atypical locations. Surg Endosc 2010; 24 (05) 1085-1091
  • 18 Ajmera AV, Judge TA. Mediastinal extension of pancreatic pseudocyst--a case with review of topic and management guidelines. Am J Ther 2012; 19 (05) e152-e156
  • 19 Tan MH, Kirk G, Archibold P, Kennedy P, Regan MC. Cardiac compromise due to a pancreatic mediastinal pseudocyst. Eur J Gastroenterol Hepatol 2002; 14 (11) 1279-1282