Abstract
Pseudocyst is one of the commonest complications following pancreatitis. However, a mediastinal pseudocyst is a rare entity which demands a high index of suspicion for diagnosis. We report a case of a 42 years old male who presented to the emergency with cough, retro-sternal chest pain, progressive dysphagia and vomiting. He was a chronic alcoholic with multiple hospitalisations in past 4 years for recurrent episodes of severe acute pancreatitis. There was left sided pleural effusion on chest radiograph and extrinsic compression of distal oesophagus and proximal stomach from posterior aspect on endoscopy. Abdominal computed tomography (CT) revealed a large pseudocyst abutting the body of pancreas and extending superiorly into the mediastinum. Patient was treated conservatively and given total parenteral nutrition followed by Ryle's tube feeding. He improved, started accepting orally and was discharged. Patient was asymptomatic on follow up and repeat CT scan after 6 weeks showed signicant decrease in the size of collection
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