title: [A case of recurrent mediastinal pancreatic pseudocyst].
abstract: A 46-year-old man complaining right lateroabdominal pain and dysphagia was admitted our hospital. The CT examination revealed the low density area spreading through the mediastinum. The patient's condition improved with fast and antibiotics. He was discharged from the hospital, having an equivocal diagnosis. Seven months later, his symptoms relapsed and he was hospitalized again. Further evaluation confirmed that his disease was the mediastinal pancreatic pseudocyst occurred by a pancreatic stone. The pseudocyst resolved twice with conservative therapy, fast and intravenous injection of antibiotics. We consider it a rare case, because mediastinal pancreatic pseudocyst generally have the tendency of becoming severe. Finally the operation was performed for depriving the pancreatic stone, which was the cause of pancreatic pseudocyst.
authors.affiliation: Internal Medicine, Nagasaki Municipal Medical Center.
authors.forename: Ayako
authors.initials: A
authors.lastname: Matsumoto
authors.forename: Yohei
authors.initials: Y
authors.lastname: Mizuta
authors.forename: Jyun-ichi
authors.initials: J
authors.lastname: Masuda
authors.forename: Kazufumi
authors.initials: K
authors.lastname: Yamasaki
authors.forename: Kazuo
authors.initials: K
authors.lastname: Ohba
authors.forename: Ken
authors.initials: K
authors.lastname: Ohnita
authors.forename: Fuminao
authors.initials: F
authors.lastname: Takeshima
authors.forename: Katsuhisa
authors.initials: K
authors.lastname: Omagari
authors.forename: Shigeru
authors.initials: S
authors.lastname: Kohno
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Tajima
authors.forename: Ryuji
authors.initials: R
authors.lastname: Tsutsumi
authors.forename: Seiya
authors.initials: S
authors.lastname: Shin
authors.forename: Takashi
authors.initials: T
authors.lastname: Kanematsu
authors.forename: Tomayoshi
authors.initials: T
authors.lastname: Hayashi
mesh_terms: D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008482:Mediastinum / Q000473:pathology; D008875:Middle Aged; D010192:Pancreatic Pseudocyst / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D012008:Recurrence; D014057:Tomography, X-Ray Computed