case_images: PMC6849157_01
case_images: Computed tomography. A and B: axial view, showing a confined collection with air in the lower mediastinum surrounding esophagus. C and D: coronal view showing a confined periesophageal collection, and distal esophageal wall thickening.
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case_images: CT scan revealed distal esophageal wall thickening and focal confined collection with air in the lower mediastinum surrounding esophagus, and pancreas showed neither parenchymal enlargement nor changes in density (Fig. 1).
case_images: Endoscopy. Endoscopy showed reddish budging of the cardia mucosa with purulent drainage orifice.
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case_images: Endoscopy was performed, showing reddish budging of the cardia mucosa with purulent drainage orifice (Fig. 2).
case_images: Endoscopic ultrasound. Endoscopic ultrasound showed a 31.5 x 9.1 mm subepithelial anechoic oval lesion in distal lateral esophageal wall, 37 cm from incisors.
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case_images: Endoscopic ultrasound revealed a 31.5 x 9.1 mm subepithelial anechoic oval lesion in distal lateral esophageal wall, 37 cm from incisors (Fig. 3).
case_images: Computed tomography. Along two-year follow-up, the patient presented four (A-D) episodes of mediastinal abscesses.
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case_images: Along two-year follow-up, the patient had four readmissions with a similar clinical presentation (Fig. 4), all of which were treated with antibiotics and fasting.
case_images: Haematoxylin & eosin (HE) stained tissue section cut. Heterotopic pancreatic tissue composed of acini and ducts, with no islet cell, within an ulcerated cyst wall. A: 1000 mum; B: 200 mum; C and D: 200 mum.
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case_images: Pathological analysis of specimens revealed a heterotopic pancreatic tissue, containing acini, ducts, without islet cells (Fig. 5).