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Pancreatic-pleural fistula presenting as epigastric pain

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Bąk M., Murawa D.

Polish Journal of Surgery

2020

vol. 92(4)

54-57

We are reporting a case of a pancreatic-pleural fistula causing epigastric pain. Chest radiograph revealed pleural effusion reaching the seventh rib. Thoracocentesis was performed and 1600 mL of brownish fluid was removed, which showed an elevated amylase level. Ultimately, the diagnosis was confirmed by computed tomography. Due to the failure of medical and endoscopic treatment, the decision was made to perform surgery. It resulted in total pancreatectomy.

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

2017

vol. 89(4)

41-47

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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2 Polish Journal of Surgery

1 2020

1 2017

1 Brodalka E.

1 Bąk M.

1 Cepowicz D.

1 Guzinska-Ustymowicz K.

1 Kędra B.

1 Markowski A. R.

1 Murawa D.

1 Zaręba K.

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Pancreatic-pleural fistula presenting as epigastric pain

Large pancreatic pseudocyst penetrating into posterior mediastinum