Mediastinal pancreatic pseudocyst with acute airway obstruction.
Pancreatic pseudocysts are usually located in the peripancreatic area, but on rare occasion a pseudocyst can reach the mediastinum. The natural history of mediastinal pseudocysts is poorly understood and seldom reported in the literature. We treated a patient who presented with an acute airway obstruction from a mediastinal pancreatic pseudocyst. Initial acute airway management and stabilization proved successful. A staged cyst decompression via a cervical and abdominal transhiatal approach was ultimately required. The natural history, potential complications, and management of pancreatic mediastinal pseudocysts are reviewed.
Bardia
Aditya
A
Department of Surgery, University of Iowa, Iowa City, 52242, USA
Stoikes
Nathaniel
N
Wilkinson
Neal W
NW
D000402:Airway Obstruction / Q000209:etiology*; D005260:Female; D006801:Humans; D008476:Mediastinal Cyst / Q000150:complications*; D008875:Middle Aged; D010192:Pancreatic Pseudocyst / Q000150:complications*; D010195:Pancreatitis / Q000150:complications / Q000601:surgery; D016717:Sphincterotomy, Endoscopic