Context Hemolymphangioma of pancreas is a tumor has its origins on vascular and lymphatic vessels malformation. At this time, only eight cases have been reported (PubMed). Case report A 52-year-old woman with history of abdominal pain and early satiety was admitted to our external consultation. Laboratory data were normal. CT initially showed a high vascularized solid tumor, apparently arising from the right hepatic lobe, and it was considered to be a hemangioma. Two sessions of CT guided embolizations were performed. Control CT scan revealed a reduction in tumor´s size and location confined to pancreatic head. With this diagnosis studies and suspicion of neoplastic tumor, it was performed a pylorus preserving pancreatoduodenectomy. Pathology report was to be a pancreatic head hemolymphangioma. Conclusion Diagnosis and management of cystic pancreatic tumors can be challenging. Cystectomy or even surgical procedures as pancreatoduodenectomy should be performed when is possible. We report a case of pancreatic hemolymphangioma, a benign cystic tumor with a rare incidence.
Image: 3-D reconstruction shows a highly vascularized mass.
Balderramo DC, Di Tada C, de Ditter AB, Mondino JC. Hemolymphangioma of the pancreas: case report and review of the literature. Pancreas 2003; 27: 197-199. [PMID:12883270]
Le Borgne J, de Calan L, Partensky C. Cystadenomas and cystadenocarcinomasof the pancreas: a multiinstitutional retrospective study of 398 cases. French Surgical Association. Ann Surg. 1999; 230(2):152-161. [PMID:10450728]
Kosmidis I, Vlachou M, Koutroufinis A, Filiopoulos K. Hemolymphangioma of the lower extremities in children: two case reports. J OrthopSurg Res. 2010; 5:56. [PMID:20704732]
Kim WT, Lee SW, Lee JU. Bleeding gastric hemolymphangioma: endoscopic therapy is feasible. Dig Endosc. 2013; 25(5):553-554. [PMID:23855544]
Zhang X, Sheng X, Liu F, Jian R, Li L, Luo R. Hemolymphangioma of the chest wall: A rare case report. OncolLett. 2012; 3(4):816-818. [PMID:22740999]
Chen G, Cui W, Ji XQ, Du JF. Diffuse hemolymphangioma of the rectum: a report of a rare case. World J Gastroenterol. 2013; 19(9):1494-1497. [PMID:23538679]
Couinaud, Jouan, Prot, Chalut, Schneiter. [Hemolymphangioma of the head of the pancreas] MemAcadChir (Paris). 1966; 92(4):152-155. [PMID:5905830]
Couinaud C, Jouan, Prot, Chalut, Favre, Schneiter. A rare tumor of the head of the pancreas. (Hemolymphangioma weighing 1,500 kg). Presse Med. 1967; 75(39):1955-1956. [PMID:6059596]
Montete P, Marmuse JP, Claude R, Charleux H. Hemolymphangioma of the pancreas. J Chir (Paris). 1985; 122(12):659-663. [PMID:4086523]
Banchini E, Bonati L, Villani LG. A case of hemolymphangioma of the pancreas. Minerva Chir. 1987; 42(9):807-813. [PMID:3614745]
Toyoki Y, Hakamada K, Narumi S, Nara M, Kudoh D, Ishido K et al. A case of invasive hemolymphangioma of the pancreas. World J Gastroenterol. 2008; 14(18):2932-2934. [PMID:18473426]
Sun LF, Ye HL, Zhou QY, Ding KF, Qiu PL, Deng YC et al. A giant hemolymphangioma of the pancreas in a 20-year-old girl: a report of one case and review of the literature. World J SurgOncol. 2009; 7:31. [PMID:19296838]
Dong F, Zheng Y, Wu JJ, Fu YB, Jin K, Chao M. Hemolymphangioma: a rare differential diagnosis of cystic-solid or cystic tumors of the pancreas. World J Gastroenterol. 2013; 19(22):3520-3523. [PMID:23801850]
Weidenfeld J, Zakai BB, Faermann R, Barshack I, Aviel-Ronen S. Hemangioma of pancreas: a rare tumor of adulthood. Isr Med Assoc J. 2011; 13(8):512-514. [PMID:21910381]
Ben-Ishay O, Linder R, Ofer A, Kakiashvili E, Kluger Y. Hypervascular lesion in the head of the pancreas. Preoperative angiography and selective embolization results in bloodless operation. JOP. 2012; 13(6):671-673. [PMID:23183397]
Zhang Y, Chen XM, Sun DL, Yang C. Treatment of hemolymphangioma of the spleen by laparoscopic partial splenectomy: a case report. World J Surg Oncol. 2014; 12:60. [PMID:24656049]
Copyright (c) 2014 Ruiz Marco Antonio Figueroa, Gomez Javier Lopez, Torres Erick Servin, Moreno Humberto Esquinca, Antonio Gómez-Pedraza
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