A mediastinal pseudocyst originating from a thoracopancreatic fistula successfully treated with endoscopic transpapillary drainage

摘要

Mediastinal pancreatic pseudocysts are rare but life-threatening complications of pancreatitis. Rupture and fistuli-zation occur in approximately three percent of cases. The management of mediastinal pseudocysts remains controversial and depends upon the exact location, etiology, ductal anatomy and expertise available. However, endoscopic interventions are increasingly used as the first modality of treatment. Here, we describe a case of mediastinal extension of a pancreatic pseudocyst successfully managed with endoscopic transpapillary drainage.