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A rare cause of mediastinal expansion with a massive pleural effusion

Z ubrt

Z Sedláek

¹ Department of Field Surgery, Faculty of Military Health Sciences, University of Defence, Czech Republic and Department of Surgery, University Hospital, Charles University, Hradec Králové, Czech Republic
² 2nd Department of Medicine, University Hospital, Charles University
³ Department of Radiology, University Hospital, Charles University

Correspondence to:
Correspondence to:
Mr Z ubrt
Department of Field Surgery, Faculty of Military Health Sciences, University of Defence, Tebeská 1575, Hradec Králové, 500 01, Czech Republic; subrt{at}email.cz

The authors present a case of a 53 year old woman, who was admitted to hospital because of an unusual cause of massive pleural effusion. During diagnostic examination the mediastinal propagation of the pancreatic pseudocyst was discovered as a complication of the chronic calcifying pancreatitis. The patient was operated on and the pseudocyst was resolved by Roux-en-Y cystjejunostomy. The diagnostics and treatment of this unusual pancreatic pseudocyst spreading is discussed.

Keywords: mediastinum; pancreatic pseudocyst; chronic pancreatitis; Roux-en-Y cystjejunostomy