title: An Unusual Case of Ascending Pancreatitis with Mediastinal Involvement: A Case Report with CT and MRI Findings.
abstract: Fluid collections are common findings of pancreatitis and spread, more often, along preferential drainage pathways in the abdomen. In some rare cases, fluid collections may spread towards extra-abdominal sites like the mediastinum leading to the formation of mediastinal collections. We present the case of a 52-years-old man with pain in the right upper quadrant of the abdomen and mid-epigastrium lasting for some hours. Laboratory tests suggested a diagnosis of pancreatitis. CT and subsequent MRI revealed changes consistent with acute exacerbation on chronic pancreatitis spreading to the mediastinum and to the greater omentum. The patient received medical treatment and reported gradual improvement in his laboratory results and CT findings.
authors: Division of Radiotherapy and Cardiac Radiology, Department of Biotechnology and Applied Clinical Sciences, San Salvatore Hospital, University of L'Aquila, L. Natali Street 1, 67100 L'Aquila, Italy.
authors: Ernesto
authors: E
authors: Di Cesare
authors: Division of Radiology, Department of Biotechnology and Applied Clinical Sciences, San Salvatore Hospital, University of L'Aquila, L. Natali Street 1, 67100 L'Aquila, Italy.
authors: Alessandra
authors: A
authors: Di Sibio
authors: Division of Radiology, Department of Biotechnology and Applied Clinical Sciences, San Salvatore Hospital, University of L'Aquila, L. Natali Street 1, 67100 L'Aquila, Italy.
authors: Antonio
authors: A
authors: Gennarelli
authors: Division of Radiology, Department of Biotechnology and Applied Clinical Sciences, San Salvatore Hospital, University of L'Aquila, L. Natali Street 1, 67100 L'Aquila, Italy.
authors: Valentina
authors: V
authors: Felli
authors: Division of Radiology, Department of Biotechnology and Applied Clinical Sciences, San Salvatore Hospital, University of L'Aquila, L. Natali Street 1, 67100 L'Aquila, Italy.
authors: Valentina
authors: V
authors: Vellucci
authors: Department of Radiology, Sant'Andrea Hospital, Sapienza University, Via di Grottarossa 1035/39, 00189 Rome, Italy.
authors: Ines
authors: I
authors: Casazza
authors: Division of Radiology, Department of Biotechnology and Applied Clinical Sciences, San Salvatore Hospital, University of L'Aquila, L. Natali Street 1, 67100 L'Aquila, Italy.
authors: Carlo
authors: C
authors: Masciocchi