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Severe complications of mediastinal pancreatic pseudocyst: report of esophagobronchial fistula and hemothorax
Author(s) -
Tanaka Akira,
Takeda Ryoji,
Utsunomiya Hirofumi,
Kataoka Masato,
Mukaihara Sumio,
Hayakawa Katsumi
Publication year - 2000
Publication title -
journal of hepato‐biliary‐pancreatic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 0944-1166
DOI - 10.1007/s005340050159
Subject(s) - medicine , pancreatic pseudocyst , pancreatitis , hemothorax , empyema , splenic vein , surgery , fistula , radiology , respiratory failure , superior mesenteric vein , pancreatic fistula , pancreas , portal vein , gastroenterology , portal hypertension , pneumothorax , cirrhosis
We report two patients with alcoholic pancreatic pseudocyst which communicated to the mediastinal space through the aortic hiatus, in one patient resulting in hypotensive shock due to hemothorax, and in the other, resulting in esophagobronchial fistula via the mediastinal cyst. The first patient was successfully treated by radical resection of the pancreatic body and tail, and the spleen, with an ultrasonic scalpel, although inflammatory changes caused by pancreatitis were so prominent that the splenic vein was occluded. The second patient could not be treated surgically, because the superior mesenteric vein had been occluded by chronic pancreatitis; he died of respiratory failure and sepsis due to aspiration pneumonia, despite receiving medical treatment.