Pancreatic pseudocysts and peripancreatic fluid collections extending into the mediastinum are unusual. Endoscopically, intra-abdominal pseudocysts can be drained transmurally through the stomach or duodenum depending on the location. An endoscopic ultrasound–guided esophageal approach for mediastinal pseudocysts has not been reported commonly in the literature. We report a rare case of a large mediastinal pseudocyst that was drained through the distal esophagus with eventual complete resolution of symptoms and pseudocyst.
1Department of Internal Medicine, University of Kansas Medical Center, Kansas City, KS
2Dow University of Health Sciences, Karachi, Pakistan
3Allegheny General Hospital, Pittsburgh, PA
4Department of Gastroenterology and Hepatology, University of Kansas Medical Center, Kansas City, KS
Correspondence: Muhammad Aziz, MD, KUMC Internal Medicine, 3901 Rainbow Blvd MS2027, Kansas City, KS 66612 (firstname.lastname@example.org).
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Received September 09, 2018
Accepted December 21, 2018