Tuberculosis and Respiratory Diseases

  • 제52권3호
  • /
  • Pages.271-277
  • /
  • 2002
  • /
  • 1738-3536(pISSN)
  • /
  • 2005-6184(eISSN)
대한결핵및호흡기학회 (The Korean Academy of Tuberculosis and Respiratory Diseases)
권호 표지

종격동 췌장 가성낭종 1예

A Case of Mediastinal Pancreatic Pseudocyst

  • 맹호영 (연세대학교 의과대학 내과학교실) ;
  • 정재희 (연세대학교 의과대학 내과학교실) ;
  • 이상원 (연세대학교 의과대학 내과학교실) ;
  • 박무석 (연세대학교 의과대학 내과학교실) ;
  • 정재호 (연세대학교 의과대학 내과학교실) ;
  • 김도훈 (연세대학교 의과대학 내과학교실) ;
  • 박승우 (연세대학교 의과대학 내과학교실) ;
  • 최병욱 (연세대학교 의과대학 진단방사선과학교실) ;
  • 김세규 (연세대학교 의과대학 내과학교실) ;
  • 장준 (연세대학교 의과대학 내과학교실) ;
  • 김성규 (연세대학교 의과대학 내과학교실) ;
  • 김영삼 (연세대학교 의과대학 내과학교실)
  • Maeng, Ho-Young (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Jung, Jae-Hae (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Lee, Sang-Won (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Park, Moo-Seok (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Chung, Jae-Ho (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Kim, Do-Hoon (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Park, Seung-Woo (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Choi, Byoung-Wook (Department of Diagnostic Radiology, Yonsei University College of Medicine) ;
  • Kim, Se-Kyu (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Chang, Joon (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Kim, Sung-Kyu (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Kim, Young-Sam (Department of Internal Medicine, Yonsei University College of Medicine)
  • 발행 : 2002.03.30
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초록

저자들은 기침 및 흉통을 주소로 내원한 53세의 알코올중독 남자 환자에서 발견된 종격동 췌장 가성낭종을 내시경적 역행성췌담도배액술과 somatostatin 유사체인 octreotide acetate를 투여하여 치료한 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Background: A pancreatic pseudocyst is one of various complications occurring in acute or chronic pancreatitis. It is usually located in the retroperitoneal space near the pancreas. However, other unusual locations are also possible. Jones initially described the mediastinal pseudocyst in 1940. Since then, fewer than 50 cases have been reported. A diagnosis of a mediastinal pseudocyst is accomplished by imaging studies revealing the cystic nature of the mass with evidences of acute or chronic pancreatitis. There is some controversy regarding the appropriate management of mediastinal pseudocyst because of the high mortality and morbidity after surgical management. Here we report a case of a mediastinal pancreatic pseudocyst found in a patient with asymptomatic alcohol-related pancreatitis complicated by the development of a mediastinal pseudocyst, which quickly resolved after endoscopic retrograde pancreatic and biliary drainage and subcutaneous injection of a somatostatin analog(octreotide acetate) without any complications.

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