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Ann Thorac Surg 2000;69:1571-1573
© 2000 The Society of Thoracic Surgeons

Case reports

Impersonation of a ruptured thoracic aneurysm by a transdiaphragmatic pancreatic cyst

Evgenij V. Potapov, MDa, Matthias Bauer, MDa, Friedrich Knollmann, MDa, Henning Weidemann, MD, PhDb, Peter Neuhaus, MD, PhDb, Roland Hetzer, MD, PhDa

a Deutsches Herzzentrum Berlin, Berlin, Germany
b Universitätsklinikum Charité der Humboldt Universität zu Berlin, Campus Virchow-Klinikum, Berlin, Germany

Address reprint requests to Dr Potapov, Deutsches Herzzentrum Berlin, Augustenburger Platz 1, 13353 Berlin, Germany
e-mail: potapov{at}dhzb.de

Pancreatic cysts can, in rare cases, expand into the posterior mediastinum and may require surgical resection. We present the case of a patient with a thoracic aneurysm, in whom the mediastinal involvement of a chronic pancreatic cyst masqueraded as a ruptured aneurysm. Surgery was undertaken: first, the initial resection and drainage of the thoracic portion of the pseudocyst, and second, a thorough cleansing of the entire cyst through median laparotomy 15 days later.






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