Pancreatico-mediastinal fistula with a mediastinal mass lesion demonstrated by MR imaging
✍ Scribed by Mehmet Ö. Öksüz; Carsten Altehoefer; Jan T. Winterer; Marisa Windfuhr-Blum; Manuela Kleinschmidt; Fritz von Weizsäcker; Andreas Ochs; Mathias Langer
- Publisher
- John Wiley and Sons
- Year
- 2002
- Tongue
- English
- Weight
- 457 KB
- Volume
- 16
- Category
- Article
- ISSN
- 1053-1807
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✦ Synopsis
Abstract
Internal pancreatic fistulas are uncommon but well‐recognized complications of inflammatory pancreatic disease. A case of a pancreatico‐mediastinal fistula with a mediastinal mass lesion in a patient with a documented history of chronic alcohol consumption and previous episodes of acute pancreatitis is described. Since the clinical symptomatology was dominated by pulmonary complaints, magnetic resonance (MR) imaging using a breathhold coronal T2‐weighted sequence with spectral fat saturation was essential in clarifying this difficult and rare pathology. Furthermore, the depiction of a fistulous tract between a mediastinal mass lesion and the retroperitoneum posterior to the pancreas, i.e., a pancreatico‐mediastinal fistula by MR imaging has not been previously reported, to the best of our knowledge. J. Magn. Reson. Imaging 2002;16:746–750. © 2002 Wiley‐Liss, Inc.