A Case of Mediastinal Pancreatic Pseudocyst Successfully Treated with Somatostatin Analogue

A 57-year-old man with a 3-year history of chronic pancreatitis was admitted to our hospital with upper abdominal pain. Based on examination findings, the patient was diagnosed as having pseudocysts in the pancreatic body and the mediastinum that were associated with acute aggravation of chronic pan...

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Veröffentlicht in:Kurume medical journal 2005, Vol.52(4), pp.161-164
Hauptverfasser: SUGA, HIDEYA, TSURUTA, OSAMU, OKABE, YOSHINOBU, SAITOH, FUMIHIKO, NODA, TETSUROU, YOSHIDA, HIKARU, ONO, NAOFUMI, KINOSHITA, HISAFUMI, TOYONAGA, ATSUSHI, SATA, MICHIO
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container_end_page 164
container_issue 4
container_start_page 161
container_title Kurume medical journal
container_volume 52
creator SUGA, HIDEYA
TSURUTA, OSAMU
OKABE, YOSHINOBU
SAITOH, FUMIHIKO
NODA, TETSUROU
YOSHIDA, HIKARU
ONO, NAOFUMI
KINOSHITA, HISAFUMI
TOYONAGA, ATSUSHI
SATA, MICHIO
description A 57-year-old man with a 3-year history of chronic pancreatitis was admitted to our hospital with upper abdominal pain. Based on examination findings, the patient was diagnosed as having pseudocysts in the pancreatic body and the mediastinum that were associated with acute aggravation of chronic pancreatitis. Because of the patient refused an operation, he was submitted to conservative management including intramuscular injection with somatostatin analogue of 100 μg/day. On the 14th day of the treatment, pleural effusion and pseudocyst in the pancreatic head were additionally diagnosed based on the findings of computed tomography, magnetic resonance imaging and other examinations, and the dose of somatostatin analogue was increased to 200 μg/day. As a result, on the 28th day of the treatment, pancreatitis was inactivated, and the pseudocysts in the mediastinum and the pancreas disappeared. The patient has been followed up for 15 months, and there has been no recurrence.
doi_str_mv 10.2739/kurumemedj.52.161
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Based on examination findings, the patient was diagnosed as having pseudocysts in the pancreatic body and the mediastinum that were associated with acute aggravation of chronic pancreatitis. Because of the patient refused an operation, he was submitted to conservative management including intramuscular injection with somatostatin analogue of 100 μg/day. On the 14th day of the treatment, pleural effusion and pseudocyst in the pancreatic head were additionally diagnosed based on the findings of computed tomography, magnetic resonance imaging and other examinations, and the dose of somatostatin analogue was increased to 200 μg/day. As a result, on the 28th day of the treatment, pancreatitis was inactivated, and the pseudocysts in the mediastinum and the pancreas disappeared. 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source J-STAGE Free; MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects chronic pancreatitis
Humans
Male
Mediastinal Cyst - diagnostic imaging
Mediastinal Cyst - drug therapy
mediastinal pancreatic pseudocyst
Middle Aged
Octreotide - therapeutic use
Pancreatic Pseudocyst - diagnostic imaging
Pancreatic Pseudocyst - drug therapy
Pancreatitis, Chronic - complications
Radiography
somatostatin analogue
title A Case of Mediastinal Pancreatic Pseudocyst Successfully Treated with Somatostatin Analogue
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