Limits...
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.

Show MeSH

Related in: MedlinePlus

Computed tomography scans of the chest and abdomen. a The computed tomography scan of the chest reveals left massive hydropneumothorax with collapse of most of the left lung and shifting of the mediastinum to the right side. b The asterisk shows the pseudocyst in the pancreatic tail. c The inverted triangle shows the pseudocyst in the pancreatic tail
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

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

Fig2: Computed tomography scans of the chest and abdomen. a The computed tomography scan of the chest reveals left massive hydropneumothorax with collapse of most of the left lung and shifting of the mediastinum to the right side. b The asterisk shows the pseudocyst in the pancreatic tail. c The inverted triangle shows the pseudocyst in the pancreatic tail

Mentions: In addition, all tumor markers were within the normal ranges: prostate-specific antigen, 0.847 ng/mL; alpha-fetoprotein, 2.47 ng/mL; carbohydrate antigen 19-9, 3.58 U/mL; carcinoembryonic antigen, 0.97 ng/mL. Moreover, echocardiography was performed to rule out cardiogenic disease, and revealed normal chamber size and wall thickness, although akinesis of his left ventricle, inferiorly, posteriorly, and on the lateral wall, was noted. Furthermore, hypokinesis of the anterior and septal wall with severe left ventricle systolic dysfunction was observed. A chest computed tomography subsequently revealed left massive hydropneumothorax with collapse of most of his left lung and shifting of his mediastinum to the right side, as well as pleural effusion in his right lung with subsegmental atelectasis of the right lower lobe of his lung; however, no cardiovascular abnormality was detected (Fig. 2a).


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)

Computed tomography scans of the chest and abdomen. a The computed tomography scan of the chest reveals left massive hydropneumothorax with collapse of most of the left lung and shifting of the mediastinum to the right side. b The asterisk shows the pseudocyst in the pancreatic tail. c The inverted triangle shows the pseudocyst in the pancreatic tail
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

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

Fig2: Computed tomography scans of the chest and abdomen. a The computed tomography scan of the chest reveals left massive hydropneumothorax with collapse of most of the left lung and shifting of the mediastinum to the right side. b The asterisk shows the pseudocyst in the pancreatic tail. c The inverted triangle shows the pseudocyst in the pancreatic tail
Mentions: In addition, all tumor markers were within the normal ranges: prostate-specific antigen, 0.847 ng/mL; alpha-fetoprotein, 2.47 ng/mL; carbohydrate antigen 19-9, 3.58 U/mL; carcinoembryonic antigen, 0.97 ng/mL. Moreover, echocardiography was performed to rule out cardiogenic disease, and revealed normal chamber size and wall thickness, although akinesis of his left ventricle, inferiorly, posteriorly, and on the lateral wall, was noted. Furthermore, hypokinesis of the anterior and septal wall with severe left ventricle systolic dysfunction was observed. A chest computed tomography subsequently revealed left massive hydropneumothorax with collapse of most of his left lung and shifting of his mediastinum to the right side, as well as pleural effusion in his right lung with subsegmental atelectasis of the right lower lobe of his lung; however, no cardiovascular abnormality was detected (Fig. 2a).

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