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Ann Thorac Surg 1986;41:210-212
© 1986 The Society of Thoracic Surgeons

Articles

Pancreatic Pseudocyst of the Mediastinum

Robert H. Johnston, Jr., M.D.*, Loren C. Owensby, M.D., Gonzalo M. Vargas, M.D., Raul Garcia-Rinaldi, M.D.

Surgical Service, Memorial Hospital, Houston, TX

Accepted for publication April 11, 1985.

* Address reprint requests to Dr. Johnston, 115 Medical Dr #206, Victoria, TX 77904

A patient with pancreatic pseudocyst of the mediastinum is presented. Weight loss, chest or abdominal pain, and dyspnea are the most frequent symptoms of mediastinal pseudocyst. Chest roentgenogram frequently demonstrates a posterior mediastinal mass, and esophagogram always shows esophageal displacement. The diagnosis is confirmed by computerized axial tomography of the chest and abdomen. Cyst-gastrostomy is the operation of choice for this condition.




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