RESUMO
Acute mediastinitis is a fatal disease that usually originates from esophageal perforation and surgical infection. Rare cases of descending necrotizing mediastinitis can occur following oral cavity and pharynx infection or can be a complication of pancreatitis. The most common thoracic complications of pancreatic disease are reactive pleural effusion and pneumonia, while rare complications include thoracic conditions, such as pancreaticopleural fistula with massive pleural effusion or hemothorax and extension of pseudocyst into the mediastinum. There have been no reports of acute mediastinitis originating from pancreatitis in South Korea. In this report, we present the case of a 50-year-old female suffering from acute mediastinitis with pleural effusion arising from recurrent pancreatitis that improved after surgical intervention.
Assuntos
Mediastinite/etiologia , Fístula Pancreática/etiologia , Pseudocisto Pancreático/etiologia , Pancreatite Crônica/complicações , Doença Aguda , Colangiopancreatografia Retrógrada Endoscópica , Colangiopancreatografia por Ressonância Magnética , Feminino , Humanos , Mediastinite/diagnóstico , Pessoa de Meia-Idade , Fístula Pancreática/diagnóstico , Fístula Pancreática/cirurgia , Pseudocisto Pancreático/diagnóstico , Pseudocisto Pancreático/cirurgia , Pancreatite Crônica/diagnóstico , Pancreatite Crônica/terapia , Derrame Pleural/etiologia , Recidiva , Ruptura Espontânea , Tomografia Computadorizada por Raios X , Resultado do TratamentoRESUMO
Peutz-Jeghers syndrome is an autosomal dominant inherited disorder characterized by multiple gastrointestinal hamartomatous polyps and mucocutaneous pigmentation. Peutz-Jeghers syndrome has an incidence of approximately 1 in 25,000 to 300,000 births. Crohn's disease is a chronic inflammatory bowel disease that typically manifests as regional enteritis with its incidence ranging from 3.1 to 14.6 cases per 100,000 person-years in North America. Herein, we report a case of a 30-year-old male patient who had both Peutz-Jeghers syndrome and Crohn's disease. We believe that this is the first case in Korea and the second report in the English literatures on Peutz-Jeghers syndrome coincidentally accompanied by Crohn's disease.