Disappearance of a large mediastinal pseudocyst in a patient with chronic alcoholic pancreatitis after total parenteral nutrition.

OBJECTIVE

To report the unusual case of a mediastinal pseudocyst in a patient with chronic pancreatitis, which resolved after conservative treatment.

PATIENT

A 59-year-old patient with alcohol-induced chronic pancreatitis and a large mediastinal pseudocyst.

INTERVENTIONS

Bowel rest and total parenteral nutrition for 4 weeks.

MAIN OUTCOME MEASURES

The pseudocyst resolved completely.

CONCLUSION

Conservative treatment is a valuable option in patients with chronic pancreatitis presenting with a mediastinal pseudocyst, but close supervision is mandatory.