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A patient with cystic lymphangioma in pancreas.

Mousavi SR, Moradi A, Sobhiyeh MR, Jabbehdari S, Azimi B, Lotfollahzadeh S, Sadeghi N, Jafarian N - Gastroenterol Hepatol Bed Bench (2013)

Bottom Line: Patients usually present with epigastric pain and an associated palpable epigastric mass.At surgery the tumor was completely excised, with preservation of pancreatic duct.Histology and immunohistochemistry confirmed cystic lymphangioma of the pancreas.

View Article: PubMed Central - PubMed

Affiliation: Department of General and vascular surgery, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

ABSTRACT
Cystic lymphangioma of the pancreas is extremely rare, accounting for less than 1% of pancreatic tumors. Though congenital, it can affect all age groups. Cystic lympangioma occurs more frequently in females. Patients usually present with epigastric pain and an associated palpable epigastric mass. Complete excision is curative, even though, depending on the tumor location, surgery may be simple or involve extensive pancreatic resection and anastomoses. In this case report, we discuss a 63-year old patient who presented with epigastric pain and on investigation was found to have pancreatic head cystic lymphangioma. At surgery the tumor was completely excised, with preservation of pancreatic duct. Histology and immunohistochemistry confirmed cystic lymphangioma of the pancreas. This case highlights that a diagnosis of cystic lymphangioma of the pancreas should be taken into consideration as a differential diagnosis of pancreatic cystic lesions.

No MeSH data available.


Related in: MedlinePlus

Laparotomy exploration showing a large cyst and location
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Figure 0002: Laparotomy exploration showing a large cyst and location

Mentions: The abdomen was not distended, with normal umbilicus and superficial veins. There were no signs of portal hypertension or previous surgery. Mild tenderness upon deep palpation of the epigastrium was noted, without rebound tenderness or rigidity. Following diagnostic imaging surgical exploration at laparotomy revealed a 12 cm single cystic mass at the head of the pancreas, not attached to any adjacent organs and without connection with main pancreatic duct (Fig 2). Considering the risk of malignancy and seeding, we avoided biopsy and puncture. The patient underwent cystectomy procedure and the main pancreatic duct was preserved, with a primary diagnosis of pancreatic pseudocyst. No other pathology was found within the abdomen and pelvic.


A patient with cystic lymphangioma in pancreas.

Mousavi SR, Moradi A, Sobhiyeh MR, Jabbehdari S, Azimi B, Lotfollahzadeh S, Sadeghi N, Jafarian N - Gastroenterol Hepatol Bed Bench (2013)

Laparotomy exploration showing a large cyst and location
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4017508&req=5

Figure 0002: Laparotomy exploration showing a large cyst and location
Mentions: The abdomen was not distended, with normal umbilicus and superficial veins. There were no signs of portal hypertension or previous surgery. Mild tenderness upon deep palpation of the epigastrium was noted, without rebound tenderness or rigidity. Following diagnostic imaging surgical exploration at laparotomy revealed a 12 cm single cystic mass at the head of the pancreas, not attached to any adjacent organs and without connection with main pancreatic duct (Fig 2). Considering the risk of malignancy and seeding, we avoided biopsy and puncture. The patient underwent cystectomy procedure and the main pancreatic duct was preserved, with a primary diagnosis of pancreatic pseudocyst. No other pathology was found within the abdomen and pelvic.

Bottom Line: Patients usually present with epigastric pain and an associated palpable epigastric mass.At surgery the tumor was completely excised, with preservation of pancreatic duct.Histology and immunohistochemistry confirmed cystic lymphangioma of the pancreas.

View Article: PubMed Central - PubMed

Affiliation: Department of General and vascular surgery, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

ABSTRACT
Cystic lymphangioma of the pancreas is extremely rare, accounting for less than 1% of pancreatic tumors. Though congenital, it can affect all age groups. Cystic lympangioma occurs more frequently in females. Patients usually present with epigastric pain and an associated palpable epigastric mass. Complete excision is curative, even though, depending on the tumor location, surgery may be simple or involve extensive pancreatic resection and anastomoses. In this case report, we discuss a 63-year old patient who presented with epigastric pain and on investigation was found to have pancreatic head cystic lymphangioma. At surgery the tumor was completely excised, with preservation of pancreatic duct. Histology and immunohistochemistry confirmed cystic lymphangioma of the pancreas. This case highlights that a diagnosis of cystic lymphangioma of the pancreas should be taken into consideration as a differential diagnosis of pancreatic cystic lesions.

No MeSH data available.


Related in: MedlinePlus