[A case of mediastinal pancreatic pseudocyst with pancreatic pleural effusion in which internal fistula was diagnosed by magnetic resonance image].
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.
Tanaka
Tsuneo
T
Department of General Surgery, Hiroshima Prefectural Hospital.
Matsugu
Yasuhiro
Y
Nakahara
Hideki
H
Fukuda
Yasuhiko
Y
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*