Pancreatic Hemolymphangioma
Abstract
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.
Downloads
References
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
This work is licensed under a Creative Commons Attribution 4.0 International License.
As a member of Publisher International Linking Association, PILA, iMedPub Group’s JOP follows the Creative Commons Attribution License and Scholars Open Access publishing policies. Journal of the Pancreas is the Council Contributor Member of Council of Science Editors (CSE) and following the CSE slogan Education, Ethics, and Evidence for Editors.