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Case Reports in Radiology
Volume 2014 (2014), Article ID 925105, 6 pages
http://dx.doi.org/10.1155/2014/925105
Case Report

An Unusual Case of Ascending Pancreatitis with Mediastinal Involvement: A Case Report with CT and MRI Findings

1Division of Radiotherapy and Cardiac Radiology, Department of Biotechnology and Applied Clinical Sciences, San Salvatore Hospital, University of L’Aquila, L. Natali Street 1, 67100 L’Aquila, Italy
2Division of Radiology, Department of Biotechnology and Applied Clinical Sciences, San Salvatore Hospital, University of L’Aquila, L. Natali Street 1, 67100 L’Aquila, Italy
3Department of Radiology, Sant’Andrea Hospital, Sapienza University, Via di Grottarossa 1035/39, 00189 Rome, Italy

Received 2 March 2014; Revised 3 May 2014; Accepted 4 May 2014; Published 14 May 2014

Academic Editor: Atsushi Komemushi

Copyright © 2014 Ernesto Di Cesare et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Fluid collections are common findings of pancreatitis and spread, more often, along preferential drainage pathways in the abdomen. In some rare cases, fluid collections may spread towards extra-abdominal sites like the mediastinum leading to the formation of mediastinal collections. We present the case of a 52-years-old man with pain in the right upper quadrant of the abdomen and mid-epigastrium lasting for some hours. Laboratory tests suggested a diagnosis of pancreatitis. CT and subsequent MRI revealed changes consistent with acute exacerbation on chronic pancreatitis spreading to the mediastinum and to the greater omentum. The patient received medical treatment and reported gradual improvement in his laboratory results and CT findings.