title: Mediastinal pancreatic pseudocyst with hemorrhage and left gastric artery pseudoaneurysm, managed with left gastric artery embolization and placement of percutaneous trans-hepatic pseudocyst drainage.
abstract: Mediastinal pancreatic pseudocyst (MPP) is a rare, but known, complication of both acute and chronic pancreatitis. Most pseudocysts are associated with alcoholic pancreatitis. Recent advances in endoscopic techniques have shown promising results, with reduced chances of infection and recurrence than with percutaneous drainage, but limited availability restricts widespread use. Left gastric artery pseudoaneurysm with mediastinal pseudocyst has not been described in the literature to date. We report a successful resolution of hemorrhagic MPP with embolization of pseudoaneurysm and percutaneous trans-hepatic pseudocyst drainage.
authors.affiliation: Division of Gastroenterology and Hepatology, East Tennessee State University, Johnson City, TN, USA, dr8382@gmail.com.
authors.forename: Parag
authors.initials: P
authors.lastname: Brahmbhatt
authors.affiliation: Division of Gastroenterology and Hepatology, East Tennessee State University, Johnson City, TN, USA.
authors.forename: Jason
authors.initials: J
authors.lastname: McKinney
authors.affiliation: Division of Gastroenterology and Hepatology, East Tennessee State University, Johnson City, TN, USA.
authors.forename: John
authors.initials: J
authors.lastname: Litchfield
authors.affiliation: Department of Medicine, M. P. Shah Medical College, Jamnagar, Gujarat, India.
authors.forename: Mehul
authors.initials: M
authors.lastname: Panchal
authors.affiliation: Department of Gastroenterology, James H. Quillen VA Medical Center, Johnson City, TN, USA and.
authors.forename: Thomas
authors.initials: T
authors.lastname: Borthwick
authors.affiliation: Division of Gastroenterology and Hepatology, East Tennessee State University, Johnson City, TN, USA.
authors.forename: Mark
authors.initials: M
authors.lastname: Young
authors.affiliation: Department of Radiology, James H. Quillen VA Medical center, Johnson City, TN, USA.
authors.forename: Lance
authors.initials: L
authors.lastname: Klosterman
keywords: dysphagia; mediastinal pancreatic pseudocyst; percutaneous pseudocyst drainage