Mediastinal pancreatic pseudocyst diagnosed based on black pleural effusion
Abstract Mediastinal pancreatic pseudocysts are rare complications of pancreatitis associated with alcohol consumption. Here, we report a case of mediastinal pancreatic pseudocyst. A 61‐year‐old Japanese woman presented to our hospital with epigastric pain and dyspnea. A chest radiograph revealed ri...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-08-01
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| Series: | Respirology Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/rcr2.1195 |
| _version_ | 1797772320609140736 |
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| author | Isana Katayama Arisa Komatsu Takayasu Watanabe Daisuke Hayakawa Naoko Iwakami Takuya Genda Shin‐ichiro Iwakami Kazuhisa Takahashi |
| author_facet | Isana Katayama Arisa Komatsu Takayasu Watanabe Daisuke Hayakawa Naoko Iwakami Takuya Genda Shin‐ichiro Iwakami Kazuhisa Takahashi |
| author_sort | Isana Katayama |
| collection | DOAJ |
| description | Abstract Mediastinal pancreatic pseudocysts are rare complications of pancreatitis associated with alcohol consumption. Here, we report a case of mediastinal pancreatic pseudocyst. A 61‐year‐old Japanese woman presented to our hospital with epigastric pain and dyspnea. A chest radiograph revealed right‐sided massive pleural effusion. Thoracentesis retrieved black pleural fluid with remarkably high fluid amylase levels were. Thoracic computed tomography (CT) after drainage revealed encapsulated fluid. Magnetic resonance cholangiopancreatography (MRCP) and endoscopic retrograde cholangiopancreatography (ERCP) were performed because abdominal CT and ultrasonography did not reveal any pancreatic problems. MRCP showed cystic masses and pancreatic tail cysts extending to the stomach and lower oesophagus. ERCP confirmed leakage of contrast medium from the pancreatic tail into the retroperitoneum. We diagnosed the patient with a pancreatic pseudocyst extending to the mediastinum. A mediastinal pancreatic pseudocyst should be considered a differential diagnosis in patients with black pleural fluid with a high amylase level. |
| first_indexed | 2024-03-12T21:49:23Z |
| format | Article |
| id | doaj.art-9be015fe5a6c45698dff90f4bbe6ec9b |
| institution | Directory Open Access Journal |
| issn | 2051-3380 |
| language | English |
| last_indexed | 2024-03-12T21:49:23Z |
| publishDate | 2023-08-01 |
| publisher | Wiley |
| record_format | Article |
| series | Respirology Case Reports |
| spelling | doaj.art-9be015fe5a6c45698dff90f4bbe6ec9b2023-07-26T06:02:30ZengWileyRespirology Case Reports2051-33802023-08-01118n/an/a10.1002/rcr2.1195Mediastinal pancreatic pseudocyst diagnosed based on black pleural effusionIsana Katayama0Arisa Komatsu1Takayasu Watanabe2Daisuke Hayakawa3Naoko Iwakami4Takuya Genda5Shin‐ichiro Iwakami6Kazuhisa Takahashi7Department of Respiratory Medicine Juntendo University Graduate School of Medicine Tokyo JapanDepartment of Respiratory Medicine Juntendo University Graduate School of Medicine Tokyo JapanDepartment of Respiratory Medicine Juntendo Shizuoka Hospital Shizuoka JapanDepartment of Respiratory Medicine Juntendo Shizuoka Hospital Shizuoka JapanDepartment of Respiratory Medicine Juntendo Shizuoka Hospital Shizuoka JapanDepartment of Gastroenterology Juntendo Shizuoka Hospital Shizuoka JapanDepartment of Respiratory Medicine Juntendo Shizuoka Hospital Shizuoka JapanDepartment of Respiratory Medicine Juntendo University Graduate School of Medicine Tokyo JapanAbstract Mediastinal pancreatic pseudocysts are rare complications of pancreatitis associated with alcohol consumption. Here, we report a case of mediastinal pancreatic pseudocyst. A 61‐year‐old Japanese woman presented to our hospital with epigastric pain and dyspnea. A chest radiograph revealed right‐sided massive pleural effusion. Thoracentesis retrieved black pleural fluid with remarkably high fluid amylase levels were. Thoracic computed tomography (CT) after drainage revealed encapsulated fluid. Magnetic resonance cholangiopancreatography (MRCP) and endoscopic retrograde cholangiopancreatography (ERCP) were performed because abdominal CT and ultrasonography did not reveal any pancreatic problems. MRCP showed cystic masses and pancreatic tail cysts extending to the stomach and lower oesophagus. ERCP confirmed leakage of contrast medium from the pancreatic tail into the retroperitoneum. We diagnosed the patient with a pancreatic pseudocyst extending to the mediastinum. A mediastinal pancreatic pseudocyst should be considered a differential diagnosis in patients with black pleural fluid with a high amylase level.https://doi.org/10.1002/rcr2.1195black pleural effusionmediastinal pancreatic pseudocystpancreatic pleural fluid |
| spellingShingle | Isana Katayama Arisa Komatsu Takayasu Watanabe Daisuke Hayakawa Naoko Iwakami Takuya Genda Shin‐ichiro Iwakami Kazuhisa Takahashi Mediastinal pancreatic pseudocyst diagnosed based on black pleural effusion Respirology Case Reports black pleural effusion mediastinal pancreatic pseudocyst pancreatic pleural fluid |
| title | Mediastinal pancreatic pseudocyst diagnosed based on black pleural effusion |
| title_full | Mediastinal pancreatic pseudocyst diagnosed based on black pleural effusion |
| title_fullStr | Mediastinal pancreatic pseudocyst diagnosed based on black pleural effusion |
| title_full_unstemmed | Mediastinal pancreatic pseudocyst diagnosed based on black pleural effusion |
| title_short | Mediastinal pancreatic pseudocyst diagnosed based on black pleural effusion |
| title_sort | mediastinal pancreatic pseudocyst diagnosed based on black pleural effusion |
| topic | black pleural effusion mediastinal pancreatic pseudocyst pancreatic pleural fluid |
| url | https://doi.org/10.1002/rcr2.1195 |
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