Panyko Arpád, Vician Marián, Dubovský Martin, Škubla Rudolf
Surgery, University Hospital Bratislava, Bratislava, SVK.
Medicine, Comenius University of Bratislava, Bratislava, SVK.
Cureus. 2020 Nov 17;12(11):e11518. doi: 10.7759/cureus.11518.
Mediastinal pancreatic pseudocysts are rarely encountered complications of pancreatic diseases. Pseudocysts most often expand into surrounding structures, just rarely into the mediastinum. Usually, they present with abdominal pain, and the symptoms correlate with the location of the pseudocysts. We describe a case of a pancreatic pseudocyst that penetrated the thoracic cavity through the diaphragm and set up a communication with the bronchial tree developing an episode of massive hemoptysis. This case is of particular interest because just a few similar cases were published before. Based on this report, we emphasize the need for early accurate diagnosis; surgeons should maintain a higher index of suspicion for mediastinal pancreatic pseudocyst in patients with chronic pancreatitis.
纵隔胰腺假性囊肿是胰腺疾病罕见的并发症。假性囊肿最常向周围结构扩展，很少向纵隔扩展。通常，它们表现为腹痛，症状与假性囊肿的位置相关。我们描述了一例胰腺假性囊肿通过膈肌穿透胸腔并与支气管树相通，引发大量咯血的病例。该病例特别引人关注，因为此前仅有少数类似病例发表。基于本报告，我们强调早期准确诊断的必要性；外科医生应对慢性胰腺炎患者的纵隔胰腺假性囊肿保持更高的怀疑指数。
