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This is a report of a patient with a mediastinal panccreatic pseudocyst presenting with chronic abdominal pain and dysphagia. The condition had been unrecognized, with the pre-operative sonographic and contrast study of the upper abdomen, until the exploratory laparotomy was performed. The natural history of mediastinal pseudocysts had been reviewed and we suggested that the best clue for the diagnosis of this rare condition was the complete medical history of the patient.
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