Tuberculosis and Respiratory Diseases
- Volume 51 Issue 5
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- Pages.482-487
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- 2001
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- 1738-3536(pISSN)
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- 2005-6184(eISSN)
A Case of Mediastinal Pancreatic Pseudocyst
종격동 췌장성 가성낭종 1례
- Kwon, Na-Young (Department of Internal Medicine, Dankook University College of Medicine) ;
- Kim, Do-Hyung (Department of Internal Medicine, Dankook University College of Medicine) ;
- Hong, Seok-Kyun (Department of Internal Medicine, Dankook University College of Medicine) ;
- Choi, Eun-Kyung (Department of Internal Medicine, Dankook University College of Medicine) ;
- Park, Jae-Seok (Department of Internal Medicine, Dankook University College of Medicine) ;
- Jee, Young-Koo (Department of Internal Medicine, Dankook University College of Medicine) ;
- Kim, Keun-Youl (Department of Internal Medicine, Dankook University College of Medicine) ;
- Jee, Keum-Nahn (Department of Diagnostic Radiology, Dankook University College of Medicine) ;
- Choi, Young-Hee (Department of Diagnostic Radiology, Dankook University College of Medicine) ;
- Lee, Kye-Young (Department of Internal Medicine, Dankook University College of Medicine)
- 권나영 (단국대학교 의과대학 내과학교실) ;
- 김도형 (단국대학교 의과대학 내과학교실) ;
- 홍석균 (단국대학교 의과대학 내과학교실) ;
- 최은경 (단국대학교 의과대학 내과학교실) ;
- 박재석 (단국대학교 의과대학 내과학교실) ;
- 지영구 (단국대학교 의과대학 내과학교실) ;
- 김건열 (단국대학교 의과대학 내과학교실) ;
- 지금난 (단국대학교 의과대학 진단방사선과학교실) ;
- 최영화 (단국대학교 의과대학 진단방사선과학교실) ;
- 이계영 (단국대학교 의과대학 내과학교실)
- Published : 2001.11.30
Abstract
A pancreatic pseudocyst with a mediastinal extension is a rare clinical entity. Intrathoracic symptoms such as dysphagia or dyspnea due to compression or associated pleural effusions are quite common. The pseudocysts transverse the diaphragm via the esophageal hiatus or aortic hiatus or by eroding directly through the diaphragm. Here, we report a case of a pancreatic pseudocyst with a mediastinal extension presenting as dysphagia and dyspnea. The diagnosis was confirmed by computerized axial tomography of the chest and abdomen. Usually, the proper management of a large pseudocyst includes percutaneous or surgical internal drainage, but in this case the mediastinal components disappeared with conservative medical treatment.
저자들은 연하곤란, 호흡곤란, 상복부동통으로 내원한 44세 남자에서 좌측 흉수를 발견하고 흉수 천자와 흉부 및 복부 전산화 단층촬영을 시행하여 종격동올 침범한 췌장성 가성낭종을 진단하고 외과적 시술 없이 총정맥 영양공급과 소마토스타틴 투여등 내과적 치료로 호전된 종격동 췌장성 가성낭종 1례를 경험하였기에 보고하는 바이다.