Clinical Endoscopy

Tomasz Grodzki

1 Article

Mediastinal Pancreatic Pseudocysts: Krzysztof Dąbkowski, Andrzej Białek, Maciej Kukla, Janusz Wójcik, Andrzej Smereczyński, Katarzyna Kołaczyk, Tomasz Grodzki, Teresa Starzyńska; Clin Endosc 2017;50(1):76-80. Published online September 13, 2016; DOI: https://doi.org/10.5946/ce.2016.089

Mediastinal pseudocysts are a rare complication of acute pancreatitis. Lack of uniform treatment standards makes the management of this condition a clinical challenge. We report the case of a 43-year-old patient who presented with a left pleural effusion. Pleural fluid revealed a high amylase concentration consistent with a pancreaticopleural fistula. Endoscopic retrograde cholangiopancreatography (ERCP) revealed a disruption of the pancreatic duct with free outflow of contrast medium into the thoracic cavity. A pancreatic stent was placed. The second day after the ERCP, the patient developed septic shock and was admitted to the intensive care unit. Computed tomography (CT) revealed mediastinal pseudocysts and bilateral pleural effusions. After bilateral drainage of the pleural cavities, the patient improved clinically, and a follow-up CT scan showed that the fluid collection and pseudocysts had resolved. We discuss the optimal strategies for diagnosing and treating patients with pancreatic thoracic pseudocysts and fistulas, as well as review the management of these conditions.

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Cureus.2024;[Epub] CrossRef
A Rare Cause of Peri-esophageal Cystic Lesion
Xiying Dong, Dong Wu
Gastroenterology.2023; 164(2): 191. CrossRef
Diagnostic approach for mediastinal masses with radiopathological correlation
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European Journal of Radiology.2023; 162: 110767. CrossRef
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Cureus.2022;[Epub] CrossRef
Mediastinal Extension of Pancreatic Pseudocyst
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