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Cystic lymphangioma of the pancreas: diagnostic and therapeutic challenges.
JOP. 2010 Nov 09; 11(6):617-9.JOP

Abstract

CONTEXT

Cystic lymphangiomas originate as benign masses which occur mostly in children especially in the head and neck region and/or the groin. Although abdominal lymphangiomas are rare, they are most commonly reported in adults. In addition, pancreatic involvement is rare. Lymphatic malformation with blockage of the lymphatic flow is the most common etiology leading to the formation of lymphangiomas. Cystic lymphangiomas should always be included in the differential diagnosis of abdominal masses which present with mass effect signs and symptoms. Due to its rarity, it forms a diagnostic and therapeutic challenge for the clinician.

CASE REPORT

We herein report the case of a 43-year-old man with a cystic lymphangioma detected in the head of the pancreas and describe the surgical procedure utilized as the therapeutic medium.

CONCLUSION

To remove this mass, we utilized a modified approach to a classic pancreaticoduodenectomy. This technique involved resection of the head of the pancreas while preserving the upper 2nd portion of the duodenum and the ampulla of Vater. The result of our 30-month follow-up of this patient has been very satisfactory with no complications.

Authors+Show Affiliations

Department of Surgery, Iran Mehr Hospital, Tehran, Iran.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

21068498

Citation

Fahimi, Hossein, et al. "Cystic Lymphangioma of the Pancreas: Diagnostic and Therapeutic Challenges." JOP : Journal of the Pancreas, vol. 11, no. 6, 2010, pp. 617-9.
Fahimi H, Faridi M, Gholamin S, et al. Cystic lymphangioma of the pancreas: diagnostic and therapeutic challenges. JOP. 2010;11(6):617-9.
Fahimi, H., Faridi, M., Gholamin, S., Gholamin, S., Molanaee, S., Molanaee, S., & Khorsandi, M. (2010). Cystic lymphangioma of the pancreas: diagnostic and therapeutic challenges. JOP : Journal of the Pancreas, 11(6), 617-9.
Fahimi H, et al. Cystic Lymphangioma of the Pancreas: Diagnostic and Therapeutic Challenges. JOP. 2010 Nov 9;11(6):617-9. PubMed PMID: 21068498.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cystic lymphangioma of the pancreas: diagnostic and therapeutic challenges. AU - Fahimi,Hossein, AU - Faridi,Maziar, AU - Gholamin,Sharareh, AU - Gholamin,Seemin, AU - Molanaee,Simin, AU - Molanaee,Sharareh, AU - Khorsandi,Maziar, Y1 - 2010/11/09/ PY - 2010/11/12/entrez PY - 2010/11/12/pubmed PY - 2011/1/13/medline SP - 617 EP - 9 JF - JOP : Journal of the pancreas JO - JOP VL - 11 IS - 6 N2 - CONTEXT: Cystic lymphangiomas originate as benign masses which occur mostly in children especially in the head and neck region and/or the groin. Although abdominal lymphangiomas are rare, they are most commonly reported in adults. In addition, pancreatic involvement is rare. Lymphatic malformation with blockage of the lymphatic flow is the most common etiology leading to the formation of lymphangiomas. Cystic lymphangiomas should always be included in the differential diagnosis of abdominal masses which present with mass effect signs and symptoms. Due to its rarity, it forms a diagnostic and therapeutic challenge for the clinician. CASE REPORT: We herein report the case of a 43-year-old man with a cystic lymphangioma detected in the head of the pancreas and describe the surgical procedure utilized as the therapeutic medium. CONCLUSION: To remove this mass, we utilized a modified approach to a classic pancreaticoduodenectomy. This technique involved resection of the head of the pancreas while preserving the upper 2nd portion of the duodenum and the ampulla of Vater. The result of our 30-month follow-up of this patient has been very satisfactory with no complications. SN - 1590-8577 UR - https://www.unboundmedicine.com/medline/citation/21068498/Cystic_lymphangioma_of_the_pancreas:_diagnostic_and_therapeutic_challenges_ L2 - http://www.serena.unina.it/index.php/jop/article/view/3409/3710 DB - PRIME DP - Unbound Medicine ER -