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S. number | Age/sex | Etiology | Acute/chronic | Presenting symptoms | Size of mediastinal pseudocyst | Presence of abdominal pseudocyst | Associated complications | Management | Follow-up |
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1 | 40/M | Ethanol | Chronic | Grade 3 dysphagia1 Weight loss Abdominal pain | 5 cm | Yes Communicating with mediastinal pseudocyst | Severe OG2 junction narrowing in barium swallow Endoscopy could not negotiate beyond oesophagogastric junction | Open cystogastrostomy | Dysphagia relieved Postop barium swallow: normal Gained weight |
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2 | 29/M | Ethanol | Acute | Dsypnoea Pain abdomen Hemoptysis, 2 weeks following intercostal drainage | 8 cm | Yes 8 × 8 cm infected necrosis involving body & tail of pancreas | Pancreaticopleural fistula 40% necrosis of pancreatic body & tail Echocardiogram: severe left ventricular dysfunction EF3 37% Inferior phrenic & intercostal artery pseudoaneurysms | Infected necrosis was managed with 2 percutaneous drainage catheters inserted with ultrasound guidance in left subphrenic & perinephric region Intercostal drainage Angioembolisation of pseudoaneurysms | Follow-up Complete resolution of pseudocyst after 2 months Echocardiogram: EF 70% |
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3 | 31/M | Ethanol | Chronic | Abdominal pain Dsypnoea | 4.5 cm | Yes Infected pseudocyst 8 × 8 cm: head and body of pancreas | Left pleural effusion Pancreatic ascites | Three PCDs inserted in left subphrenic, left perinephric region and pelvis Left intercostal drainage | 2 months later, he developed splenic artery pseudoaneurysm: angioembolisation done |
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4 | 36/M | Ethanol | Chronic | Chest pain Early satiety Abdominal pain | 3 cm | Yes 8 × 6 cm pseudocyst in head of pancreas | Nil | Open cystogastrostomy | Complete resolution of pseudocyst after 1 week |
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5 | 39/M | Ethanol | Chronic | Retrosternal discomfort Dsypnoea Pain abdomen | 8 cm | Yes Multiple peripancreatic pseudocyst | Left pleural effusion/walled-off pancreatic necrosis Echocardiogram: severe left ventricular dysfunction EF 40% | Open cystogastrostomy, open necrosectomy, external drainage | Pseudocyst Resolved EF improved to 64% |
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6 | 33/M | Ethanol | Chronic | Chest pain Dysphagia Abdominal pain | 6.5 cm | Yes. Multiple peripancreatic pseudocyst | Bilateral pleural effusion Extrinsic compression over esophagus from 34–38 cm | Open cystogastrostomy | Resolutions of symptoms |
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7 | 17/F | Idiopathic | Chronic | Abdominal pain Left sided neck pain and edema | 4 cm | Yes Pseudocyst 2 × 2 cm head of pancreas Multiple parenchymal and ductal calculi | Left pleural effusion Left IJV4/brachiocephalic vein thrombosis | Frey’s procedure | Thrombus recanalised after 6 months of anticoagulant therapy |
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