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  • Title: Large pancreatic pseudocyst penetrating into posterior mediastinum.
    Author: Markowski AR, Brodalka E, Guzinska-Ustymowicz K, Zaręba K, Cepowicz D, Kędra B.
    Journal: Pol Przegl Chir; 2017 Aug 31; 89(4):41-47. PubMed ID: 28905804.
    Abstract:
    We report a rare case of a large mediastinal pancreatic pseudocyst compressing the left atrium and the esophagus and causing dyspnea, palpitations, and emesis. Chest radiograph was non-diagnostic, esophagogastroduodenoscopy showed diffuse extrinsic compression of the distal esophagus and gastric corpus, but a definitive diagnosis was confirmed by computed tomography. We decided to perform surgery due to the recurrence of the pancreatic pseudocyst, a history of unsuccessful radiologically guided external drainage a few years earlier, and a very large diameter of the pseudocyst causing acute cardio-pulmonary distress syndrome.
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