Department of Diagnostic and Interventional Radiology, University Medical Center Freiburg, Freiburg, Germany.
Department of General and Visceral Surgery, University Medical Center Freiburg, Freiburg, Germany.
J Cardiothorac Surg. 2024 Apr 6;19(1):184. doi: 10.1186/s13019-024-02698-8.
The occurrence of ectopic pancreas in the mediastinum is rare. Herein, we report a 22-year-old female who presented with right shoulder pain, dysphagia, fever and headaches. Chest computer tomography revealed a mass in the posterior mediastinum with accompanying signs of acute mediastinitis. Needle biopsy and fine-needle aspiration revealed ectopic gastral tissue and ectopic pancreas tissue, respectively. Surgical resection was attempted due to recurring acute pancreatitis episodes. However, due to chronic-inflammatory adhesions of the mass to the tracheal wall, en-bloc resection was not possible without major tracheal resection. Since then, recurring pancreatitis episodes have been treated conservatively with antibiotics. We report this case due to its differing clinical and radiological findings in comparison to previous case reports, none of which pertained a case of ectopic pancreas tissue in the posterior mediastinum with recurring acute pancreatitis and mediastinitis.
纵隔异位胰腺的发生较为罕见。本文报告了 1 例 22 岁女性，因右肩部疼痛、吞咽困难、发热和头痛就诊。胸部计算机断层扫描显示后纵隔有一肿块，伴有急性纵隔炎的征象。针吸活检和细针抽吸分别显示异位胃组织和异位胰腺组织。由于反复发作的急性胰腺炎，尝试进行手术切除。然而，由于肿块与气管壁的慢性炎症粘连，在不进行主要气管切除的情况下无法进行整块切除。此后，反复发作的胰腺炎采用抗生素进行保守治疗。我们报告这个病例是因为它的临床表现和影像学表现与之前的病例报告不同，之前的报告均未涉及后纵隔异位胰腺组织并反复发作急性胰腺炎和纵隔炎的病例。
