Open AccessEctopic pancreas in a giant mediastinal cyst
Author(s) -
Li Wilson W.,
Boven Wim Jan,
Jurhill Roy R.,
Bonta Peter I.,
Annema Jouke T.,
Mol Bas A.
Publication year - 2016
Publication title -
the clinical respiratory journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.789
H-Index - 33
eISSN - 1752-699X
pISSN - 1752-6981
DOI - 10.1111/crj.12176
Subject(s) - medicine , ectopic pancreas , cyst , surgery , mediastinum , median sternotomy , radiology , bronchogenic cyst , pericardium , mediastinal shift , pancreas , lung
Ectopic pancreas located in the mediastium is an extremely rare anomaly. We present a case of an ectopic pancreas located in a giant mediastinal cyst in an 18‐year‐old man. He presented with symptoms of dyspnea due to external compression of the cyst on the left main bronchus. Complete surgical resection was performed through median sternotomy, with relief of the bronchial compression postoperatively. Literature review showed 20 previously reported cases. These masses were usually large (>10 cm), almost exclusively located in the anterior mediastinum, predominately cystic in nature and generally benign. Surgical resection was performed in all reported cases with a favorable prognosis. Due to the size of these masses, operative treatment can be challenging and should be carefully planned, with specific considerations regarding anesthetic and surgical management.