Acute mediastinitis arising from pancreatic mediastinal fistula in recurrent pancreatitis

Acute mediastinitis is a fatal disease that usually originates from esophageal perforation and surgical infection.Rare cases of descending necrotizing mediastinitis can occur following oral cavity and pharynx infection or can be a complication of pancreatitis.The most common thoracic complications o...

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Published inWorld journal of gastroenterology : WJG Vol. 20; no. 40; pp. 14997 - 15000
Main Authors Choe, In Soo, Kim, Yong Seok, Lee, Tae Hee, Kim, Sun Moon, Song, Kyung Ho, Koo, Hoon Sup, Park, Jung Ho, Pyo, Jin Sil, Kim, Ji Yeong, Choi, In Seok
Format Journal Article
LanguageEnglish
Published United States Baishideng Publishing Group Inc 28.10.2014
Subjects
Acute Disease
Case Report
Cholangiopancreatography, Endoscopic Retrograde
Cholangiopancreatography, Magnetic Resonance
Complication
Female
Fistula
Humans
Mediastinitis
Mediastinitis - diagnosis
Mediastinitis - etiology
Middle Aged
Pancr
Pancreatic Fistula - diagnosis
Pancreatic Fistula - etiology
Pancreatic Fistula - surgery
Pancreatic Pseudocyst - diagnosis
Pancreatic Pseudocyst - etiology
Pancreatic Pseudocyst - surgery
Pancreatitis, Chronic - complications
Pancreatitis, Chronic - diagnosis
Pancreatitis, Chronic - therapy
Pleural Effusion - etiology
Recurrence
Recurrent
Rupture, Spontaneous
Tomography, X-Ray Computed
Treatment Outcome
Complication
Fistula
Recurrent
Mediastinitis
Pancreatitis
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Summary:Acute mediastinitis is a fatal disease that usually originates from esophageal perforation and surgical infection.Rare cases of descending necrotizing mediastinitis can occur following oral cavity and pharynx infection or can be a complication of pancreatitis.The most common thoracic complications of pancreatic disease are reactive pleural effusion and pneumonia,while rare complications include thoracic conditions,such as pancreaticopleural fistula with massive pleural effusion or hemothorax and extension of pseudocyst into the mediastinum.There have been no reports of acute mediastinitis originating from pancreatitis in South Korea.In this report,we present the case of a 50-year-old female suffering from acute mediastinitis with pleural effusion arising from recurrent pancreatitis that improved after surgical intervention.
Bibliography:In Soo Choe;Yong Seok Kim;Tae Hee Lee;Sun Moon Kim;Kyung Ho Song;Hoon Sup Koo;Jung Ho Park;Jin Sil Pyo;Ji Yeong Kim;In Seok Choi;Division of Gastroenterology and Hepatology, Department of Internal Medicine, Konyang University College of Medicine, Daejeon 302-718, South Korea;Department of General Surgery, Konyang University College of Medicine, Daejeon 302-718, South Korea
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Correspondence to: Yong Seok Kim, MD, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Konyang University College of Medicine, 685 Gasuwon-dong, Seo-gu, Deajeon 302-718, South Korea. stonedrag@hanmail.net
Telephone: +82-42-6009127 Fax: +82-42-6009090
Author contributions: Choe IS wrote the manuscript; Kim YS designed the study and performed the ERCP procedure; Park JH, Pyo JS and Kim JY provided the collection of the figures and advice for this work; Lee TH, Kim SM, Song KH and Koo HS provided medical treatment to the patient and advice for this work; Choi IS performed the operation.
ISSN:1007-9327
2219-2840
DOI:10.3748/wjg.v20.i40.14997