case_images: PMC8074815_01
case_images: Magnetic resonance imaging showing the intrathoracic extension and gastric artery at the base of pseudocyst
case_images: JIAPS-26-44-g001.jpg
case_images: PMC8074815_01_JIAPS-26-44-g001.jpg
case_images: F1
case_images: 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].
case_images: Opening of pseudocyst
case_images: JIAPS-26-44-g002.jpg
case_images: PMC8074815_01_JIAPS-26-44-g002.jpg
case_images: F2
case_images: Wide communication between thoracic and abdominal components was established under fluoroscopic guidance [Figure 2].
case_images: Cystojejunostomy
case_images: JIAPS-26-44-g003.jpg
case_images: PMC8074815_01_JIAPS-26-44-g003.jpg
case_images: F3
case_images: 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].