Hemorrhagic pleural effusion and mediastinal mass: presenting symptoms in a child with pseudocyst of the pancreas.
A girl was referred to our hospital because of a right-sided recurrent hemorrhagic pleural effusion associated with a mediastinal mass. It was later found that the findings were due to a pancreatic pseudocyst with internal fistulization through a necrotic opening in the left hemi-diaphragm, and with mediastinal and right-sided pleural extension. The object of this report is to remind clinicians that a pleural effusion and a mediastinal mass may be the presentation of a pseudocyst of the pancreas, and to point out the important of endoscopic retrograde cholangiopancreatography--even for children.
D002675:Child, Preschool; D002760:Cholangiopancreatography, Endoscopic Retrograde; D003937:Diagnosis, Differential; D003964:Diaphragm; D005260:Female; D006470:Hemorrhage / Q000000981:diagnostic imaging; D006801:Humans; D008477:Mediastinal Diseases / Q000000981:diagnostic imaging*; D010181:Pancreatic Cyst / Q000000981:diagnostic imaging*; D010185:Pancreatic Fistula / Q000000981:diagnostic imaging; D010192:Pancreatic Pseudocyst / Q000000981:diagnostic imaging*; D010996:Pleural Effusion / Q000000981:diagnostic imaging*