PMC8074815_01
Magnetic resonance imaging showing the intrathoracic extension and gastric artery at the base of pseudocyst
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F1
Magnetic resonance imaging (MRI) abdomen and chest reported diffuse pancreatic atrophy with large collection below the body of pancreas extending into posterior mediastinum through esophageal hiatus of diaphragm [Figure 1].
Opening of pseudocyst
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F2
Wide communication between thoracic and abdominal components was established under fluoroscopic guidance [Figure 2].
Cystojejunostomy
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F3
Cystogastrostomy was not attempted in view of proximity to the left gastric artery, so the patient underwent a cystojejunostomy with Roux-en-Y loop creation [Figure 3].