title: CT-guided drainage of a mediastinal pancreatic pseudocyst with a transhepatic transdiaphragmatic approach.
abstract: We describe a mediastinal pancreatic pseudocyst treated with a catheter drainage placed under computed tomographic guidance using a newly applied approach. A needle was angled cephalad with the computed tomographic gantry tilt technique, and was inserted into the lowest portion of the cavity through the liver and through the diaphragm. The needle pathway was necessitated by the location of the pseudocyst cavity. The drainage alleviated completely the symptoms with no complications. The puncture technique should be an option for accessing mediastinal lesions percutaneously.
authors.affiliation: Department of Radiology, Kyoto First Red Cross Hospital, 15-749 Higashiyama, Honmachi, Kyoto 605-0981, Japan. yotake@dream.com
authors.forename: Yoshito
authors.initials: Y
authors.lastname: Takeuchi
authors.forename: Haruumi
authors.initials: H
authors.lastname: Okabe
authors.forename: Satoshi
authors.initials: S
authors.lastname: Myojo
authors.forename: Sotaro
authors.initials: S
authors.lastname: Fujimoto
mesh_terms: D000583:Amikacin / Q000008:administration & dosage; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D002408:Catheters, Indwelling; D004322:Drainage / Q000379:methods*; D006801:Humans; D008297:Male; D008482:Mediastinum; D008875:Middle Aged; D010192:Pancreatic Pseudocyst / Q000000981:diagnostic imaging / Q000382:microbiology / Q000628:therapy*; D015641:Radiography, Interventional / Q000379:methods*; D013203:Staphylococcal Infections / Q000628:therapy*; D014057:Tomography, X-Ray Computed / Q000379:methods*; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D000583:Amikacin