Pancreatic Pseudocysts in the Mediastinal Space: An Urban Legend?

Pancreatic Pseudocysts in the Mediastinal Space: An Urban Legend?

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Pancreatic pseudocysts are a frequent complication of chronic pancreatitis.Nonetheless, they seldom extend beyond the peripancreatic region.However, migration towards the mediastinum may cause heterogeneous and non-specific symptoms, such as dysphagia, chest pain and dyspnoea, which depend on the localization and extension SALTED CARAMEL MILK CHOCOLATE of the cysts.We present the case of a patient with chronic pancreatitis who was admitted to our ward for low-grade fever and mild dyspnoea and who rapidly developed bilateral Siemens KI86SAF30G IQ 500 Integrated 70/30 Fridge Freezer A++ laterocervical swelling associated with acute dyspnoea and trismus.

A total body CT scan showed multiple abdominal pancreatic pseudocysts, one of which had migrated to the mediastinum and towards the retropharyngeal space.Clinicians should always consider the possibility of extra-pancreatic pseudocysts in patients with known pancreatitis so that uncommon clinical presentations with a potentially fatal outcome will be recognized.