Ectopic pancreas tissue in the posterior mediastinum

The occurrence of ectopic pancreas in the mediastinum is rare. Herein, we report a 22-year-old female who presented with right shoulder pain, dysphagia, fever and headaches. Chest computer tomography revealed a mass in the posterior mediastinum with accompanying signs of acute mediastinitis. Needle...

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Bibliographic Details
Published inJournal of cardiothoracic surgery Vol. 19; no. 1; p. 184
Main Authors Berkarda, Zeynep, Kuvendjiska, Jasmina, Bamberg, Fabian, Kotter, Elmar
Format Journal Article
LanguageEnglish
Published England BioMed Central Ltd 06.04.2024
BioMed Central
BMC
Subjects
Abscesses
Acute Disease
Adult
Antibiotics
Biopsy
Blood
Bronchoscopy
Case reports
Choristoma - diagnosis
Choristoma - surgery
Computed tomography
Cysts
Dysphagia
Dyspnea
Ectopic pancreas
Female
Humans
Inflammation
Magnetic resonance imaging
Mediastinitis
Mediastinitis - complications
Mediastinitis - diagnosis
Mediastinitis - surgery
Mediastinum
Mediastinum - diagnostic imaging
Mediastinum - pathology
Ostomy
Pain
Pancreas
Pancreas - pathology
Pancreatitis
Pancreatitis - complications
Pancreatitis - diagnosis
Posterior mediastinum
Shoulder
Surgery
Tissue
Tomography
Young Adult
Posterior mediastinum
Ectopic pancreas
Computed tomography
Magnetic resonance imaging
Mediastinitis
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Summary:The occurrence of ectopic pancreas in the mediastinum is rare. Herein, we report a 22-year-old female who presented with right shoulder pain, dysphagia, fever and headaches. Chest computer tomography revealed a mass in the posterior mediastinum with accompanying signs of acute mediastinitis. Needle biopsy and fine-needle aspiration revealed ectopic gastral tissue and ectopic pancreas tissue, respectively. Surgical resection was attempted due to recurring acute pancreatitis episodes. However, due to chronic-inflammatory adhesions of the mass to the tracheal wall, en-bloc resection was not possible without major tracheal resection. Since then, recurring pancreatitis episodes have been treated conservatively with antibiotics. We report this case due to its differing clinical and radiological findings in comparison to previous case reports, none of which pertained a case of ectopic pancreas tissue in the posterior mediastinum with recurring acute pancreatitis and mediastinitis.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ISSN:1749-8090
1749-8090
DOI:10.1186/s13019-024-02698-8