Surgery Today

, Volume 31, Issue 8, pp 743–746

Huge Cystic Lymphangioma of the Pancreas: Report of a Case

Authors

  • Akira Igarashi
    • Department of Surgery II, Hamamatsu University School of Medicine, 3600 Handa-cho, Hamamatsu 431-3192, Japan
  • Yuji Maruo
    • Department of Surgery, Seirei Numazu Hospital, 902-6 Matushita, Numazu 410-0864, Japan
  • Takashi Ito
    • Department of Surgery, Seirei Numazu Hospital, 902-6 Matushita, Numazu 410-0864, Japan
  • Kouichiro Ohsawa
    • Department of Surgery, Seirei Numazu Hospital, 902-6 Matushita, Numazu 410-0864, Japan
  • Atsushi Serizawa
    • Department of Surgery, Seirei Numazu Hospital, 902-6 Matushita, Numazu 410-0864, Japan
  • Masami Yabe
    • Department of Surgery, Seirei Numazu Hospital, 902-6 Matushita, Numazu 410-0864, Japan
  • Koresada Seki
    • Department of Surgery, Seirei Numazu Hospital, 902-6 Matushita, Numazu 410-0864, Japan
  • Hiroyuki Konno
    • Department of Surgery II, Hamamatsu University School of Medicine, 3600 Handa-cho, Hamamatsu 431-3192, Japan
  • Satoshi Nakamura
    • Department of Surgery II, Hamamatsu University School of Medicine, 3600 Handa-cho, Hamamatsu 431-3192, Japan

DOI: 10.1007/s005950170084

Cite this article as:
Igarashi, A., Maruo, Y., Ito, T. et al. Surg Today (2001) 31: 743. doi:10.1007/s005950170084

Abstract

We report herein the case of a 33-year-old woman who presented with palpable abdominal swelling found to be caused by a huge lymphangioma of the pancreas. An abdominal computed tomographic (CT) scan showed a large multilocular cystic mass with water-dense contents, which was derived from the pancreatic head. A pancreaticoduodenectomy (PD) was performed because the tumor had invaded the duodenum. The resected tumor, which was 23 × 12 × 23 cm in size with 2 l of serous fluid, was pathologically diagnosed as a cystic lymphangioma. The endothelial cells lining the internal surface of the cystic spaces were immunohistochemically positive for factor VIII-R antigen and CD31. Our review of the literature revealed 45 reports of lymphangioma of the pancreas, including this one, but to the best of our knowledge this is only the fifth case that required a PD. Nevertheless, we recommend that a complete resection be performed to reduce the risk of recurrence.

Key words LymphangiomaPancreasPancreaticoduodenectomy

Copyright information

© Springer-Verlag 2001