title: Acute mediastinitis arising from pancreatic mediastinal fistula in recurrent pancreatitis.
abstract: Acute mediastinitis is a fatal disease that usually originates from esophageal perforation and surgical infection. Rare cases of descending necrotizing mediastinitis can occur following oral cavity and pharynx infection or can be a complication of pancreatitis. The most common thoracic complications of pancreatic disease are reactive pleural effusion and pneumonia, while rare complications include thoracic conditions, such as pancreaticopleural fistula with massive pleural effusion or hemothorax and extension of pseudocyst into the mediastinum. There have been no reports of acute mediastinitis originating from pancreatitis in South Korea. In this report, we present the case of a 50-year-old female suffering from acute mediastinitis with pleural effusion arising from recurrent pancreatitis that improved after surgical intervention.
authors.affiliation: In Soo Choe, Yong Seok Kim, Tae Hee Lee, Sun Moon Kim, Kyung Ho Song, Hoon Sup Koo, Jung Ho Park, Jin Sil Pyo, Ji Yeong Kim, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Konyang University College of Medicine, Daejeon 302-718, South Korea.
authors.forename: In Soo
authors.initials: IS
authors.lastname: Choe
authors.affiliation: In Soo Choe, Yong Seok Kim, Tae Hee Lee, Sun Moon Kim, Kyung Ho Song, Hoon Sup Koo, Jung Ho Park, Jin Sil Pyo, Ji Yeong Kim, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Konyang University College of Medicine, Daejeon 302-718, South Korea.
authors.forename: Yong Seok
authors.initials: YS
authors.lastname: Kim
authors.affiliation: In Soo Choe, Yong Seok Kim, Tae Hee Lee, Sun Moon Kim, Kyung Ho Song, Hoon Sup Koo, Jung Ho Park, Jin Sil Pyo, Ji Yeong Kim, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Konyang University College of Medicine, Daejeon 302-718, South Korea.
authors.forename: Tae Hee
authors.initials: TH
authors.lastname: Lee
authors.affiliation: In Soo Choe, Yong Seok Kim, Tae Hee Lee, Sun Moon Kim, Kyung Ho Song, Hoon Sup Koo, Jung Ho Park, Jin Sil Pyo, Ji Yeong Kim, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Konyang University College of Medicine, Daejeon 302-718, South Korea.
authors.forename: Sun Moon
authors.initials: SM
authors.lastname: Kim
authors.affiliation: In Soo Choe, Yong Seok Kim, Tae Hee Lee, Sun Moon Kim, Kyung Ho Song, Hoon Sup Koo, Jung Ho Park, Jin Sil Pyo, Ji Yeong Kim, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Konyang University College of Medicine, Daejeon 302-718, South Korea.
authors.forename: Kyung Ho
authors.initials: KH
authors.lastname: Song
authors.affiliation: In Soo Choe, Yong Seok Kim, Tae Hee Lee, Sun Moon Kim, Kyung Ho Song, Hoon Sup Koo, Jung Ho Park, Jin Sil Pyo, Ji Yeong Kim, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Konyang University College of Medicine, Daejeon 302-718, South Korea.
authors.forename: Hoon Sup
authors.initials: HS
authors.lastname: Koo
authors.affiliation: In Soo Choe, Yong Seok Kim, Tae Hee Lee, Sun Moon Kim, Kyung Ho Song, Hoon Sup Koo, Jung Ho Park, Jin Sil Pyo, Ji Yeong Kim, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Konyang University College of Medicine, Daejeon 302-718, South Korea.
authors.forename: Jung Ho
authors.initials: JH
authors.lastname: Park
authors.affiliation: In Soo Choe, Yong Seok Kim, Tae Hee Lee, Sun Moon Kim, Kyung Ho Song, Hoon Sup Koo, Jung Ho Park, Jin Sil Pyo, Ji Yeong Kim, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Konyang University College of Medicine, Daejeon 302-718, South Korea.
authors.forename: Jin Sil
authors.initials: JS
authors.lastname: Pyo
authors.affiliation: In Soo Choe, Yong Seok Kim, Tae Hee Lee, Sun Moon Kim, Kyung Ho Song, Hoon Sup Koo, Jung Ho Park, Jin Sil Pyo, Ji Yeong Kim, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Konyang University College of Medicine, Daejeon 302-718, South Korea.
authors.forename: Ji Yeong
authors.initials: JY
authors.lastname: Kim
authors.affiliation: In Soo Choe, Yong Seok Kim, Tae Hee Lee, Sun Moon Kim, Kyung Ho Song, Hoon Sup Koo, Jung Ho Park, Jin Sil Pyo, Ji Yeong Kim, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Konyang University College of Medicine, Daejeon 302-718, South Korea.
authors.forename: In Seok
authors.initials: IS
authors.lastname: Choi
mesh_terms: D000208:Acute Disease; D002760:Cholangiopancreatography, Endoscopic Retrograde; D049448:Cholangiopancreatography, Magnetic Resonance; D005260:Female; D006801:Humans; D008480:Mediastinitis / Q000175:diagnosis / Q000209:etiology*; D008875:Middle Aged; D010185:Pancreatic Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D010192:Pancreatic Pseudocyst / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D050500:Pancreatitis, Chronic / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D010996:Pleural Effusion / Q000209:etiology; D012008:Recurrence; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Complication; Fistula; Mediastinitis; Pancreatitis; Recurrent