ABSTRACT
Background: Mediastinal pancreatic pseudocyst is a rare complication of pancreatitis.Case characteristics: An 8-year-old boy with chest pain and shortness of breath.Computed tomography of chest showed a cystic mass in the mediastinum. The cyst aspiraterevealed high amylase and lipase levels, suggestive of pancreatic pseudocyst. Outcome:The patient gradually recovered after Roux-en-Y cystojejunostomy. Message: Cystojejunostomy is a viable treatment option for mediastinal pancreatic pseudocyst, especiallywith failure of medical therapy.
ABSTRACT
Background: Outcome of pseudomonas enteric fever is unpredictable as multiple systemic lethal complications occur abruptly. Case characteristics: A 9-month-old girl with multiple ileal perforations, leukocoria, ecthyma gangrenosum, hemiplegia and a perforated ulcer in the soft palate. Blood culture suggested Pseudomonas aeruginosa infection. Operative repair of multiple ileal perforations and multidisciplinary management was provided. Outcome: On 10th post-operative day, patient succumbed to multiple organ dysfunction syndrome. Message: Early detection and management of complications of P. aeruginosa enteric disease is important.