Impersonation of a ruptured thoracic aneurysm by a transdiaphragmatic pancreatic cyst.

Potapov, E V; Bauer, M; Knollmann, F; Weidemann, H; Neuhaus, P; Hetzer, R · Ann Thorac Surg · 2000

case_report · Level V

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Abstract

Pancreatic cysts can, in rare cases, expand into the posterior mediastinum and may require surgical resection. We present the case of a patient with a thoracic aneurysm, in whom the mediastinal involvement of a chronic pancreatic cyst masqueraded as a ruptured aneurysm. Surgery was undertaken: first, the initial resection and drainage of the thoracic portion of the pseudocyst, and second, a thorough cleansing of the entire cyst through median laparotomy 15 days later.

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