Vol. 72 No. 3 (2020)
Case Reports

Mediastinal pseudocyst and pleural fistulization, exceptional complication of pancreatitis

Rodrigo Hernández Negrin
Clínica Quirúrgica 2 Hospital Maciel. Montevideo.Uruguay
Bio
Mauricio Pontillo
Clínica Quirúrgica 2 Hospital Maciel. Montevideo.Uruguay
Eduardo Olivera
Clínica Quirúrgica 2 Hospital Maciel. Montevideo.Uruguay
Gustavo Rodríguez
Clínica Quirúrgica 2 Hospital Maciel. Montevideo.Uruguay

Published 2020-04-28

How to Cite

1.
Hernández Negrin R, Pontillo M, Olivera E, Rodríguez G. Mediastinal pseudocyst and pleural fistulization, exceptional complication of pancreatitis. Rev Cir. [Internet]. 2020 Apr. 28 [cited 2026 Aug. 23];72(3). Available from: https://plataforma.revistacirugia.cl/index.php/revistacirugia/article/view/618

Abstract

Introduction: The thoracic complications secondary to acute pancreatitis are exceptional and even more so the presence of a mediastinal pseudocyst.

Case report: 36 year old man. Marijuana and alcohol consumer. History of 6 months of abdominal pain and weight loss of 20 kilos. Installing respiratory symptomatology evolution.

Discussion: The forms of presentation of this entity are discussed. Its most frequent etiologies. Emphasis is placed on the role of imaging as well as the analysis of pleural fluid. The therapeutic approach is conservative at the beginning and in some patients it is surgical during evolution; with several options.