A case of mediastinal pancreatic pseudocyst with pancreatic pleural effusion in who us internal fistula diagnosed by magnetic resonance image

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  • 膵性胸水をともないMRIにて内瘻が描出できた縦隔内膵仮性嚢胞の1例

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Abstract

A 53-year old man with a history of heavy alcoholic drinking was admitted for progressive cough and dyspnea. Chest radiography revealed a left-sided massive pleural effusion, and CT showed a pancreatic pseudocyst occurred from the body of the pancreas to mediastinum. MRI images clearly delineated the internal pancreatic fistula that extended to the mediastinum. A distal pancreatectomy with splenectomy was performed and the postoperative course was uneventful without recurrent pancreatitis or pleural effusion. MRI is a useful noninvasive imaging method to assess mediastinal pancreatic pseudocysts.<br>

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