Treatment of pancreatic pseudocyst complicated by a breakthrough into the posterior mediastinum
https://doi.org/10.24884/0042-4625-2025-184-1-70-76
Abstract
An observation from practice is presented – a case of treatment of a pancreatic pseudocyst complicated by a break through into the posterior mediastinum. The article demonstrates the difficulties of diagnosis and surgical treatment of patients with complicated pancreatic pseudocysts.
About the Authors
A. Yu. KorolkovRussian Federation
Korolkov Andrej Yu., Dr. of Sci. (Med.), Professor, Head of the Department of General and Emergency Surgery of the Research Institute of Surgery and Emergency Medicine
6-8, L’va Tolstogo str., Saint Petersburg, 197022
Competing Interests:
The authors declare no conflict of interest.
D. N. Popov
Russian Federation
Popov Dmitry N., Head of the Department – Surgeon of Surgical Department № 4 (Emergency Surgery)
6-8, L’va Tolstogo str., Saint Petersburg, 197022
Competing Interests:
The authors declare no conflict of interest.
T. O. Nikitina
Russian Federation
Nikitina Tatyana O., Surgeon of Surgical Department № 4 (Emergency Surgery)
6-8, L’va Tolstogo str., Saint Petersburg, 197022
Competing Interests:
The authors declare no conflict of interest.
A. S. Agishev
Russian Federation
Agishev Alexey S., Cand. of Sci.(Med.), Research Fellow of the Department of Thoracic Surgery of the Research Institute of Surgery and Emergency Medicine
6-8, L’va Tolstogo str., Saint Petersburg, 197022
Competing Interests:
The authors declare no conflict of interest.
A. A. Korolkov
Russian Federation
Korolkov Artem A., 6th year student
6, Academica Lebedeva str., Saint Petersburg, 194044
Competing Interests:
The authors declare no conflict of interest.
A. O. Tantsev
Russian Federation
Tantsev Alexey O., Surgeon of Surgical Department № 4 (Emergency Surgery)
6-8, L’va Tolstogo str., Saint Petersburg, 197022
Competing Interests:
The authors declare no conflict of interest.
References
1. Pervova O. V., Cherdancev D. V., Kurbanov D. Sh. et al. The first results of transluminal drainage of pancreatic pseudocyst under EUS-induced. Young scientist. 2015;11:703–708. (In Russ.).
2. Bagnenko S. F., Kurygin A. A., Ruhlyada N. V., Smirnov A. D. Hronicheskij pankreatit: Rukovodstvo dlya vrachej. SPb., Piter, 2000. 420 p. (In Russ.).
3. Ratchik V. М., Orlovsky D. V., Shevelyov V. V. Pancreatic cysts: current concepts of pathogenesis, diagnosis and di agnostic and treatment approach. Gastroenterology. 2014; 53(3):43–50. (In Russ.). https://doi.org/10.22141/2308-2097.3.53.2014.82116.
4. Martinez-Ordaz J. L., Toledo-Toral C., Franco-Guerrero N. et. al. Surgical treatment of pancreatic pseudocyst. Cir. 2016;84(4). P. 288‒292.
5. Kopchak V. M., Homyak I. V., Cheverdyuk D. A. et al. Pancreatic cysts: current concepts of pathogenesis, diagnosis and diagnos tic and treatment approach. Grekov’s Bulletin of Surgery. 2012; 171(3):29‒34. (In Russ.).
6. Shablovskij O. R., Ivanov Yu. V., Urazovskij N. Yu. et al. The case of rare pseudocyst of pancreas located in posterior mediastinum. Journal of Clinical Practice. 2011;2(4):53–57. (In Russ.). https://doi.org/10.17816/clinpract83660.
7. Builov V. M., Popov V. B. Diagnosis of cysts in the pancreas in the mediastinum: what has changed over the past 25 years. Journal of radiology and nuclear medicine. 2013;5:21‒25. (In Russ.).
8. Degtyareva Yu. S. Clinical case of multiple pancreatic pseudo cysts prevalent in the posterior mediastinum. Innovative Medicine of Kuban. 2016;1:50‒54. (In Russ.).
9. Tewari S., Sushma A., Redkar R. Mediastinal extension of pan creatic pseudocyst: a rare pediatric presentation. J Indian Assoc Pediatr Surg. 2021;26(1):44.
10. Hoang V. T., Chansomphou V., Vo T. H. et al. Pancreatic pseu docyst with mediastinal extension: a rare cause of hiatal hernia. Oxford Med Case Rep. 2021;(9):68.
11. Shah P., Bagga C., Talwar D. et al. Mediastinal eventration of a pseudocyst of pancreas presenting as acute shock syndrome: expecting the unexpected. Cureus. 2022;14(1):214‒233.
12. Sudo T., Marakami Y., Uemura K. et.al. Short and long-tern re silts of lateral pancreaticojejunostome for chronic pancreatitis: a retrospective Japanese single-center study. J Hepatobiliary Pancr Sci. 2014;26(6):426‒432.
13. Vitellas C., Mangeb I. B., Regalado L. et al. Mediastinal exten sion of a pancreatic pseudocyst: a rare intrathoracic complica tion of pancreatitis. Barron B. J., eds. Case Rep Radiol. 2021; (2021):1–7.
14. Filin V. I., Kostyuchenko A. L. Neotlozhnaya pankreatologiya. Spravochnik dlya vrachej. SPb., Piter, 1994. 410 p. (In Russ.).
Supplementary files
![]() |
1. Неозаглавлен | |
Subject | ||
Type | Other | |
Download
(1MB)
|
Indexing metadata ▾ |
![]() |
2. Неозаглавлен | |
Subject | ||
Type | Other | |
Download
(307KB)
|
Indexing metadata ▾ |
![]() |
3. Неозаглавлен | |
Subject | ||
Type | Other | |
Download
(280KB)
|
Indexing metadata ▾ |
![]() |
4. Неозаглавлен | |
Subject | ||
Type | Other | |
Download
(911KB)
|
Indexing metadata ▾ |
![]() |
5. Неозаглавлен | |
Subject | ||
Type | Other | |
Download
(827KB)
|
Indexing metadata ▾ |
![]() |
6. Неозаглавлен | |
Subject | ||
Type | Other | |
Download
(447KB)
|
Indexing metadata ▾ |
![]() |
7. Неозаглавлен | |
Subject | ||
Type | Other | |
Download
(302KB)
|
Indexing metadata ▾ |
![]() |
8. Неозаглавлен | |
Subject | ||
Type | Other | |
Download
(B)
|
Indexing metadata ▾ |
![]() |
9. Неозаглавлен | |
Subject | ||
Type | Other | |
Download
(492KB)
|
Indexing metadata ▾ |
![]() |
10. Неозаглавлен | |
Subject | ||
Type | Other | |
Download
(916KB)
|
Indexing metadata ▾ |
![]() |
11. Неозаглавлен | |
Subject | ||
Type | Other | |
Download
(835KB)
|
Indexing metadata ▾ |
![]() |
12. Неозаглавлен | |
Subject | ||
Type | Other | |
Download
(747KB)
|
Indexing metadata ▾ |
![]() |
13. Неозаглавлен | |
Subject | ||
Type | Other | |
Download
(967KB)
|
Indexing metadata ▾ |
![]() |
14. Неозаглавлен | |
Subject | ||
Type | Other | |
Download
(528KB)
|
Indexing metadata ▾ |
![]() |
15. Неозаглавлен | |
Subject | ||
Type | Other | |
Download
(393KB)
|
Indexing metadata ▾ |
![]() |
16. Неозаглавлен | |
Subject | ||
Type | Other | |
Download
(436KB)
|
Indexing metadata ▾ |
![]() |
17. Неозаглавлен | |
Subject | ||
Type | Other | |
Download
(822KB)
|
Indexing metadata ▾ |
Review
For citations:
Korolkov A.Yu., Popov D.N., Nikitina T.O., Agishev A.S., Korolkov A.A., Tantsev A.O. Treatment of pancreatic pseudocyst complicated by a breakthrough into the posterior mediastinum. Grekov's Bulletin of Surgery. 2025;184(1):70-76. (In Russ.) https://doi.org/10.24884/0042-4625-2025-184-1-70-76