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Successful treatment of a pancreatic pseudocyst accompanied by massive hemothorax: a case report.

Li CC, Hsu CW, Li CZ, Kuo SM, Wu YC - J Med Case Rep (2015)

Bottom Line: A 54-year-old Taiwanese man had tightness on the left side of his chest and shortness of breath for 3 days.He had a history of acute pancreatitis 3 months ago.Based on our experience, we briefly discuss the currently available treatment options for pancreatic pseudocyst.

View Article: PubMed Central - PubMed

Affiliation: Division of General Surgery, Department of Surgery, Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan. fbsn4747@gmail.com.

ABSTRACT

Background: It is rare to encounter massive hemothorax as a complication of pancreatic pseudocyst. In addition, as no obvious hypotension and abdominal discomfort were noted, it was difficult to consider gastrointestinal lesion a possibility.

Case presentation: A 54-year-old Taiwanese man had tightness on the left side of his chest and shortness of breath for 3 days. He had a history of acute pancreatitis 3 months ago. After history taking and a series of examinations including thoracocentesis and computed tomography of his abdomen and chest, the diagnosis was finally confirmed based on the high amylase levels in his pleural fluid.

Conclusions: Treatment with distal pancreatectomy and splenectomy was subsequently successfully performed. Based on our experience, we briefly discuss the currently available treatment options for pancreatic pseudocyst.

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Related in: MedlinePlus

Chest radiograph reveals massive left-sided pleural effusion with a right-deviated trachea
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Fig1: Chest radiograph reveals massive left-sided pleural effusion with a right-deviated trachea

Mentions: A 54-year-old Taiwanese man visited our cardiovascular department complaining of tightness on the left side of his chest and shortness of breath for 3 days. A chest radiograph revealed massive left-sided pleural effusion with a right-deviated trachea (Fig. 1). He was admitted for further evaluation. He denied a history of cough, hemoptysis, productive sputum, weight loss, abdominal discomfort, or trauma in recent months. At this time, panendoscopy and computed tomography of his abdomen revealed a gastric ulcer and acute pancreatitis with phlegmon formation. After gastrointestinal department follow-up, he reported experiencing symptom relief after 1 month.Fig. 1


Successful treatment of a pancreatic pseudocyst accompanied by massive hemothorax: a case report.

Li CC, Hsu CW, Li CZ, Kuo SM, Wu YC - J Med Case Rep (2015)

Chest radiograph reveals massive left-sided pleural effusion with a right-deviated trachea
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4696274&req=5

Fig1: Chest radiograph reveals massive left-sided pleural effusion with a right-deviated trachea
Mentions: A 54-year-old Taiwanese man visited our cardiovascular department complaining of tightness on the left side of his chest and shortness of breath for 3 days. A chest radiograph revealed massive left-sided pleural effusion with a right-deviated trachea (Fig. 1). He was admitted for further evaluation. He denied a history of cough, hemoptysis, productive sputum, weight loss, abdominal discomfort, or trauma in recent months. At this time, panendoscopy and computed tomography of his abdomen revealed a gastric ulcer and acute pancreatitis with phlegmon formation. After gastrointestinal department follow-up, he reported experiencing symptom relief after 1 month.Fig. 1

Bottom Line: A 54-year-old Taiwanese man had tightness on the left side of his chest and shortness of breath for 3 days.He had a history of acute pancreatitis 3 months ago.Based on our experience, we briefly discuss the currently available treatment options for pancreatic pseudocyst.

View Article: PubMed Central - PubMed

Affiliation: Division of General Surgery, Department of Surgery, Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan. fbsn4747@gmail.com.

ABSTRACT

Background: It is rare to encounter massive hemothorax as a complication of pancreatic pseudocyst. In addition, as no obvious hypotension and abdominal discomfort were noted, it was difficult to consider gastrointestinal lesion a possibility.

Case presentation: A 54-year-old Taiwanese man had tightness on the left side of his chest and shortness of breath for 3 days. He had a history of acute pancreatitis 3 months ago. After history taking and a series of examinations including thoracocentesis and computed tomography of his abdomen and chest, the diagnosis was finally confirmed based on the high amylase levels in his pleural fluid.

Conclusions: Treatment with distal pancreatectomy and splenectomy was subsequently successfully performed. Based on our experience, we briefly discuss the currently available treatment options for pancreatic pseudocyst.

Show MeSH
Related in: MedlinePlus