Santiana Leni, Warokko Viola Stephanie, Kusmayadi Surachman Dikki Drajat, Nugraha Harry Galuh
Department of Radiology, Faculty of Medicine Padjadjaran University, Bandung, Indonesia.
Department of Pediatric Surgery, Faculty of Medicine Padjadjaran University, Bandung, Indonesia.
Radiol Case Rep. 2023 Sep 19;18(11):4226-4230. doi: 10.1016/j.radcr.2023.08.088. eCollection 2023 Nov.
Pancreatic pseudocysts are fluid-filled masses with a pseudo-capsule that appear following a pancreatic injury. Pseudocysts are the most frequent cystic lesions of the pancreas, representing about 85% of all pancreatic cysts. The possible complications of pancreatic pseudocysts include infections, hemorrhage, intestinal stenosis or obstruction, and rupture into nearby organs or the peritoneal/retroperitoneal cavity. However, mediastinal extension of pancreatic pseudocysts with portal hypertension is rare. We present a case of an 18-year-old male with a history of weight loss over a 10-month period, presenting with an abdominal lump, hemoptysis, abdominal pain, and dyspnea. He was diagnosed with large pancreatic pseudocysts that extended into the mediastinum by ultrasonography (US) and contrast-enhanced computed tomography (CT) examination. Portal hypertension occurs as a result of portal vein compression. A histopathological examination proved conclusive of pancreatic pseudocysts. The patient was treated with surgery, where the cyst was drained.
胰腺假性囊肿是一种有假包膜的液性肿块，在胰腺损伤后出现。假性囊肿是胰腺最常见的囊性病变，约占所有胰腺囊肿的85%。胰腺假性囊肿的可能并发症包括感染、出血、肠道狭窄或梗阻，以及破裂进入附近器官或腹膜/后腹膜腔。然而，伴有门静脉高压的胰腺假性囊肿向纵隔延伸的情况很少见。我们报告一例18岁男性患者，有10个月体重减轻病史，表现为腹部肿块、咯血、腹痛和呼吸困难。通过超声（US）和增强计算机断层扫描（CT）检查，他被诊断为巨大胰腺假性囊肿并延伸至纵隔。门静脉高压是由于门静脉受压所致。组织病理学检查确诊为胰腺假性囊肿。该患者接受了手术治疗，囊肿得以引流。
