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Large pancreatic pseudocyst penetrating into posterior mediastinum

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Markowski A. R., Brodalka E., Guzinska-Ustymowicz K., Zaręba K., Cepowicz D., Kędra B.
Polish Journal of Surgery
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2017
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vol. 89(4)
41-47
EN
We report a rare case of a large mediastinal pancreatic pseudocyst compressing the left atrium and the esophagus and causing dyspnea, palpitations, and emesis. Chest radiograph was non-diagnostic, esophagogastroduodenoscopy showed diffuse extrinsic compression of the distal esophagus and gastric corpus, but a definitive diagnosis was confirmed by computed tomography. We decided to perform surgery due to the recurrence of the pancreatic pseudocyst, a history of unsuccessful radiologically guided external drainage a few years earlier, and a very large diameter of the pseudocyst causing acute cardio-pulmonary distress syndrome.
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Somatostatine analogue in nonoperative treatment of posttraumatic pancreatic pseudocyst in a child: a case report

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Marjanovic V., Slavkovic A., Stojanovic M., Stefanovic V., Marjanovic G., Jankovic R.
Open Medicine
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2012
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vol. 7
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issue 1
34-37
EN
Pancreatic pseudocyst is a complication of pancreatic trauma. We describe improved nonoperative treatment of patient with posttraumatic pancreatic pseudocyst with somatostatin analogue. A 9-year-old girl was admitted to our hospital after blunt abdominal trauma with handlebar. Three weeks after abdominal trauma, pancreatic pseudocyst developed. Nonoperative treatment of posttraumatic pancreatic pseudocyst (the largest dimensions 70 × 55 × 65 mm) with somatostatin analogue, octreotide acetate, was applied for the next 52 days. The patient was followed up for 24 months after the discontinuation of octreotide and there were no recurrence of pancreatic pseudocyst. Somatostatin analogue could be usefull in the nonoperative treatment of posttraumatic pancreatic pseudocysts in children.
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