title: [A case of mediastinal pancreatic pseudocyst with pancreatic pleural effusion in which internal fistula was diagnosed by magnetic resonance image].
abstract: A 53-year old man with a history of heavy alcoholic drinking was admitted for progressive cough and dyspnea. Chest radiography revealed a left-sided massive pleural effusion, and CT showed a pancreatic pseudocyst occurred from the body of the pancreas to mediastinum. MRI images clearly delineated the internal pancreatic fistula that extended to the mediastinum. A distal pancreatectomy with splenectomy was performed and the postoperative course was uneventful without recurrent pancreatitis or pleural effusion. MRI is a useful noninvasive imaging method to assess mediastinal pancreatic pseudocysts.
authors.affiliation: Department of General Surgery, Hiroshima Prefectural Hospital.
authors.forename: Tsuneo
authors.initials: T
authors.lastname: Tanaka
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Matsugu
authors.forename: Hideki
authors.initials: H
authors.lastname: Nakahara
authors.forename: Yasuhiko
authors.initials: Y
authors.lastname: Fukuda
mesh_terms: D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008482:Mediastinum; D008875:Middle Aged; D010185:Pancreatic Fistula / Q000175:diagnosis*; D010192:Pancreatic Pseudocyst / Q000150:complications*; D010996:Pleural Effusion / Q000150:complications*