• Demonstration of the fistulous tract linking pancreatic pseudocysts to the mediastinum and pleural cavity has diagnostic and therapeutic implications. In four cases, pseudocyst drainage through the esophageal and aortic diaphragmatic crus into the mediastinum and pleural cavity was delineated by computed tomography. In two cases, significant pericardial effusions were demonstrated. Computed tomography offers an effective diagnostic method when treatment is dependent on anatomic localization of the disrupted pseudocyst and its intrathoracic drainage tract.
(Arch Intern Med 1985;145:1231-1234)
Louie S, McGahan JP, Frey C, Cross CE. Pancreatic Pleuropericardial Effusions: Fistulous Tracts Demonstrated by Computed Tomography. Arch Intern Med. 1985;145(7):1231–1234. doi:10.1001/archinte.1985.00360070109017
Best of JAMA Network 2022
Customize your JAMA Network experience by selecting one or more topics from the list below.