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Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Mediastinal pancreatic pseudocyst with isolated thoracic symptoms: a case report | Journal of Medical Case Reports BioMed Central Case report Mediastinal pancreatic pseudocyst with isolated thoracic symptoms a case report Robert Drescher Odo Koster and Carsten Lukas Open Access Address Institute of Diagnostic and Interventional Radiology and Nuclear Medicine Ruhr-University Bochum St Josef University Hospital Bochum Germany Email Robert Drescher - robert.drescher@rub.de Odo Koster - odo.koester@rub.de Carsten Lukas - carsten.lukas@rub.de Corresponding author Published 27 May 2008 Received 13 August 2007 Journal of Medical Case Reports 2008 2 180 doi 10.1186 1752-1947-2-180 Accepted 27 May 2008 This article is available from http www.jmedicalcasereports.cOm content 2 1 180 2008 Drescher et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Mediastinal pancreatic pseudocysts represent a rare complication of acute or chronic pancreatitis. Case presentation A 55-year-old man with a history of chronic pancreatitis was admitted with intermittent dyspnea dysphagia and weight loss. Chest X-ray computed tomography and magnetic resonance imaging revealed a large paracardial pancreatic pseudocyst causing cardiac and esophageal compression. Conclusion Mediastinal pancreatic pseudocysts are a rare complication of chronic pancreatitis. These pseudocysts may lead to isolated thoracic symptoms. For accurate diagnostic and therapy planning a multimodal imaging approach is necessary. Introduction Pseudocyst formation is a common complication of chronic pancreatitis. Usually these cysts are located inside and around the pancreas and most often arise due to leakage of pancreatic secretions into surrounding tissues. In some cases the connection between the cyst and the pancreas is not evident on computed