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Anterior mediastinal ectopic pancreatic cyst incidentally identified by pericarditis: a case report

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Abstract

Ectopic pancreas often occurs in the gastrointestinal tract. However, the identification of a mediastinal ectopic pancreas is extremely rare. Herein, we report a case of ectopic pancreas of the anterior mediastinum, which was incidentally detected during treatment for pericarditis with widespread ST elevation on electrocardiogram. A 40-year-old woman complaining of chest pain was admitted with suspected pericarditis. A closer examination revealed a cystic mass in the anterior mediastinum, which was diagnosed as a pancreatic cyst of the anterior mediastinum on thoracoscopic tumor resection.

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References

  1. Shillitoe AJ, Wilson JE. Enterogenous cyst of thorax with pancreatic tissue as a constituent. J Thorac Surg. 1957;34:810–4.

    Article  CAS  Google Scholar 

  2. Cagirici U, Ozbaran M, Veral A, Posacioglu H. Ectopic mediastinal pancreas. Eur J Cardiovasc Surg. 2001;19:514–5.

    Article  CAS  Google Scholar 

  3. Njem JM, Ugwu B, Collins J, Emmanuel I, Rhilip OA, Awodi J. Aberrent pancreatic tissue in a giant mediastinal cyst: an uncommon entity. J Cardiothorac Surg. 2019;14:134. https://doi.org/10.1186/s13019-019-0955-2.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Patel J, Park C, Michaels J, Rosen C, Kort S. Pericardial cyst: case reports and literature review. Echocardiography. 2004;21:269–72.

    Article  Google Scholar 

  5. Matsushima S, Kawamoto M, Iedokoro Y, Koizumi K, Gomibuchi M, Hioki M, et al. The assessment of surgical therapy on the mediastinal tumors treated in our department [In Japanese with English abstract]. J Jpn Surg Assoc. 1991;52:960–5.

    Google Scholar 

  6. Ribet ME, Copin MC, Gosselin BH. Bronchogenic cysts of the lung. Ann Thorac Surg. 1996;61:1636–40.

    Article  CAS  Google Scholar 

  7. Kaur J, McDonald PJ, Bhanot RD, Awali RA, Dhar S, Rowley J. A rare case of mediastinal bronchogenic cyst infected by Salmonella enteritidis. Case Rep Pulmonol. 2018;2018:9121389. https://doi.org/10.1155/2018/9121389.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Oguri M, Ohguchi S, Takahara K, Kawamura Y, Yokoi Y, Izumi K, et al. Hemorrhagic pericardial cyst complicated with constrictive pericarditis. Intern Med. 2018;57:3365–8. https://doi.org/10.2169/intermedicine.1047-18.

    Article  Google Scholar 

  9. Snak Y, Dwianingsih EK, Sompono ASB, Panji R, Rehman A, Ghozali A, et al. Mediastinal ectopic pancreas with abundant endocrine cells coexisting with mediastinal cyst and thymic hyperplasia. Case Rep Pathol. 2018;2018:8270516. https://doi.org/10.1155/2018/8270516.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Romain PS, Muehlebach G, Damjanov I, Fan F. Adenocarcinoma arising in an ectopic mediastinal pancreas. Ann Diagn Pathol. 2012;16:494–7. https://doi.org/10.1016/j.anndiagpath.2011.04.005.

    Article  Google Scholar 

  11. Weichert W, Koch M, Schmidt B, Krüll M, Badakhshi H, Neudecker J, et al. Mature mediastinal teratoma with subtotal unidirectional pancreatic differentiation. Pathol Res Pract. 2010;206:346–8.

    Article  Google Scholar 

  12. Moeller KH, Rosado-de-Christenson ML, Templeton PA. Mediastinal mature teratoma: imaging features. Am J Roentogenol. 1997;169:985–90.

    Article  CAS  Google Scholar 

  13. Kogure Y, Kamimura M, Nomura T, Hamamoto Y, Fujii T, Kobayashi N, et al. Two cases of mature mediastinal teratoma complaining of sudden chest pain. AJRS. 2005;43:365–9 ((in Japanese with English abstract)).

    Google Scholar 

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Acknowledgments

We would like to thank Editage (www.editage.jp) for English language editing.

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Correspondence to Yoshihito Iijima.

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Iijima, Y., Iwai, S., Yamagata, A. et al. Anterior mediastinal ectopic pancreatic cyst incidentally identified by pericarditis: a case report. Gen Thorac Cardiovasc Surg 69, 597–600 (2021). https://doi.org/10.1007/s11748-020-01537-6

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  • DOI: https://doi.org/10.1007/s11748-020-01537-6

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