title: Thoracoabdominal pseudocyst of pancreas: An rare location, managed by retrocolic retrogastric Roux-en-Y cystojejunostomy.
abstract: Pseudocyst formation is a common complication of acute and chronic pancreatitis. Most common site of pseudocyst is lesser sac; mediastinal extension of pseudocyst is rare. Other possibilities of posterior mediastinal cyst must be considered. This patient presented with computed tomography abdomen with thorax showing a large thoraco-abdominal pseudocyst with right sided pleural effusion. It was confirmed to be pancreatic pseudocyst by analyzing fluid for amylase and lipase during surgery. In our patient, the pseudocyst was accessible transabdominaly. Cystogastrostomy was not possible as it was causing twisting of cardio-esophageal junction; we did retrocolic and retrogastric Roux-en-Y cystojejunostomy. Only two such cases were reported in literature.
authors.affiliation: Ravikiran Shankar Kamble, Rahulkumar Gupta, Abhaya R Gupta, Paras Rashmikant Kothari, K Vishesh Dikshit, Geeta Anil Kekre, Prashant Sadashiv Patil, Department of Pediatric Surgery, LTMMC and LTMG Hospital Sion Mumbai, Maharashtra 400022, India.
authors.forename: Ravikiran Shankar
authors.initials: RS
authors.lastname: Kamble
authors.affiliation: Ravikiran Shankar Kamble, Rahulkumar Gupta, Abhaya R Gupta, Paras Rashmikant Kothari, K Vishesh Dikshit, Geeta Anil Kekre, Prashant Sadashiv Patil, Department of Pediatric Surgery, LTMMC and LTMG Hospital Sion Mumbai, Maharashtra 400022, India.
authors.forename: Rahulkumar
authors.initials: R
authors.lastname: Gupta
authors.affiliation: Ravikiran Shankar Kamble, Rahulkumar Gupta, Abhaya R Gupta, Paras Rashmikant Kothari, K Vishesh Dikshit, Geeta Anil Kekre, Prashant Sadashiv Patil, Department of Pediatric Surgery, LTMMC and LTMG Hospital Sion Mumbai, Maharashtra 400022, India.
authors.forename: Abhaya R
authors.initials: AR
authors.lastname: Gupta
authors.affiliation: Ravikiran Shankar Kamble, Rahulkumar Gupta, Abhaya R Gupta, Paras Rashmikant Kothari, K Vishesh Dikshit, Geeta Anil Kekre, Prashant Sadashiv Patil, Department of Pediatric Surgery, LTMMC and LTMG Hospital Sion Mumbai, Maharashtra 400022, India.
authors.forename: Paras Rashmikant
authors.initials: PR
authors.lastname: Kothari
authors.affiliation: Ravikiran Shankar Kamble, Rahulkumar Gupta, Abhaya R Gupta, Paras Rashmikant Kothari, K Vishesh Dikshit, Geeta Anil Kekre, Prashant Sadashiv Patil, Department of Pediatric Surgery, LTMMC and LTMG Hospital Sion Mumbai, Maharashtra 400022, India.
authors.forename: K Vishesh
authors.initials: KV
authors.lastname: Dikshit
authors.affiliation: Ravikiran Shankar Kamble, Rahulkumar Gupta, Abhaya R Gupta, Paras Rashmikant Kothari, K Vishesh Dikshit, Geeta Anil Kekre, Prashant Sadashiv Patil, Department of Pediatric Surgery, LTMMC and LTMG Hospital Sion Mumbai, Maharashtra 400022, India.
authors.forename: Geeta Anil
authors.initials: GA
authors.lastname: Kekre
authors.affiliation: Ravikiran Shankar Kamble, Rahulkumar Gupta, Abhaya R Gupta, Paras Rashmikant Kothari, K Vishesh Dikshit, Geeta Anil Kekre, Prashant Sadashiv Patil, Department of Pediatric Surgery, LTMMC and LTMG Hospital Sion Mumbai, Maharashtra 400022, India.
authors.forename: Prashant Sadashiv
authors.initials: PS
authors.lastname: Patil
keywords: Cystojejunostomy; Retrocolic; Retrogastric; Roux-en-Y loop; Thoracoabdominal pseudocyst