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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
|
2017
|
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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