Pancreatico-mediastinal fistula with a mediastinal mass lesion demonstrated by MR imaging.
Internal pancreatic fistulas are uncommon but well-recognized complications of inflammatory pancreatic disease. A case of a pancreatico-mediastinal fistula with a mediastinal mass lesion in a patient with a documented history of chronic alcohol consumption and previous episodes of acute pancreatitis is described. Since the clinical symptomatology was dominated by pulmonary complaints, magnetic resonance (MR) imaging using a breathhold coronal T2-weighted sequence with spectral fat saturation was essential in clarifying this difficult and rare pathology. Furthermore, the depiction of a fistulous tract between a mediastinal mass lesion and the retroperitoneum posterior to the pancreas, i.e., a pancreatico-mediastinal fistula by MR imaging has not been previously reported, to the best of our knowledge.
Oksüz
Mehmet O
MO
Department of Diagnostic Radiology, University of Freiburg Medical Center, Freiburg im Breisgau, Germany. oeksuez@mrs1.ukl.uni-freiburg.de
Altehoefer
Carsten
C
Winterer
Jan T
JT
Windfuhr-Blum
Marisa
M
Kleinschmidt
Manuela
M
von Weizsäcker
Fritz
F
Ochs
Andreas
A
Langer
Mathias
M
D000273:Adipose Tissue / Q000473:pathology; D003937:Diagnosis, Differential; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008477:Mediastinal Diseases / Q000175:diagnosis* / Q000473:pathology; D008875:Middle Aged; D009336:Necrosis; D010185:Pancreatic Fistula / Q000175:diagnosis*; D019512:Pancreatitis, Alcoholic / Q000150:complications; D014057:Tomography, X-Ray Computed