Choe IS, Kim YS, Lee TH, Kim SM, Song KH, Koo HS, Park JH, Pyo JS, Kim JY, Choi IS. Acute mediastinitis arising from pancreatic mediastinal fistula in recurrent pancreatitis. World J Gastroenterol 2014; 20(40): 14997-15000 [PMID: 25356062 DOI: 10.3748/wjg.v20.i40.14997]
Corresponding Author of This Article
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
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
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World J Gastroenterol. Oct 28, 2014; 20(40): 14997-15000 Published online Oct 28, 2014. doi: 10.3748/wjg.v20.i40.14997
Acute mediastinitis arising from pancreatic mediastinal fistula in recurrent pancreatitis
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
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, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Konyang University College of Medicine, Daejeon 302-718, South Korea
In Seok Choi, Department of General Surgery, Konyang University College of Medicine, Daejeon 302-718, South Korea
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.
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
Received: April 12, 2014 Revised: May 31, 2014 Accepted: June 25, 2014 Published online: October 28, 2014
Abstract
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.
Core tip: Acute mediastinitis is a rare complication of pancreatitis. This case presents acute mediastinitis arising from recurrent pancreatitis that improved after surgical mangement.
