Tibor Belágyi, Ákos Issekutz, Ágnes Paukovics, Gabriella Kecskés, Attila Oláh
Context A mediastinal pseudocyst is an unusual and rare complication of acute and chronic pancreatitis. Case report The authors report the case of a 41-year-old male patient with a documented history of chronic pancreatitis who developed a pancreaticomediastinal fistula with mediastinal pseudocyst, which was successfully treated by pancreatic head resection (Frey). Conclusion Though the choice of treatment is still controversial, the main goal of surgical treatment is to ensure the adequate flow of pancreatic juice from the pseudocyst and the pancreas.