Mediastinal abscess formation; necrotizing pancreatitis; fluoroscopic control; Computed Tomography; necrotizing pancreatitis; Blood chemistry; thoracic complication; acute abdominal pain; magnetic resonance cholangiopancreatography; esophagus

Stephen N Fung; Sascha Vaghiri; Andreas Krieg; Alexander Rehders; Wolfram T Knoefel; Johannes G Bode; Lino M Sawicki

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ISSN: 2643-6760

Surgery & Case Studies: Open Access Journal

Case Report(ISSN: 2643-6760)

Jejunal Metastasis from Clear Cell Renal Cell Carcinoma

Volume 3 - Issue 5

**Stephen N Fung¹*, Sascha Vaghiri¹, Johannes G Bode², Lino M Sawicki³, Andreas Krieg¹, Alexander Rehders¹ and Wolfram T Knoefel¹**

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- ¹Department of Surgery (A), Heinrich-Heine-University and University Hospital Duesseldorf, Moorenstrasse 5, 40225 Duesseldorf, Germany
- ²Department of Gastroenterology, Infectiology and Hepatology, Heinrich-Heine-University and University Hospital Duesseldorf, Moorenstrasse 5, 40225 Duesseldorf, Germany
- ³Institute of Diagnostic and Interventional Radiology, Heinrich Heine-University and University Hospital Duesseldorf, Moorenstrasse 5, 40225 Duesseldorf, Germany
*Corresponding author: Stephen N Fung, Department of Surgery (A), Heinrich-Heine-University and University Hospital Duesseldorf, Moorenstrasse 5, 40225 Duesseldorf, Germany

Received: November 29, 2019 Published: December 09, 2019

DOI: 10.32474/SCSOAJ.2019.03.000175

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Abstract

Mediastinal abscess formation is a rare thoracic complication of acute pancreatitis with a high mortality. Pleural effusion and pneumonia represent the most frequent complications. Here we report the case of a 52 years old patient with a history of alcoholinduced acute pancreatitis, who was admitted at our hospital with acute abdominal pain. Contrast-enhanced Computed Tomography showed a necrotizing pancreatitis with mediastinal abscess formation. Endosonographic puncture and subsequent placement of a transesophageal pigtail drainage in the necrotic cavity led to complete evacuation of the infected mediastinal necrosis. To our knowledge this therapeutic approach has not been described for such a case before and seems to be an effective therapy of mediastinal abscess formation.

Keywords: Mediastinal abscess formation; necrotizing pancreatitis

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