Skip to main content

Advertisement

Log in

Pancreatic Angiomatosis: Report of a Case

  • Case Reports
  • Published:
Surgery Today Aims and scope Submit manuscript

Abstract

Recent advances in imaging techniques such as dynamic intravenous contrast-enhanced computed tomography (CT) and magnetic resonance imaging (MRI) have enabled us to detect pancreatic cysts, some of which are potentially malignant. As the histopathological diagnosis cannot be confirmed preoperatively, enlarged pancreatic cysts are usually removed surgically. We report a rare case of pancreatic angiomatosis in a 21-year-old woman who presented with vague abdominal pain, a feeling of fullness, and nausea. Abdominal ultrasonography, contrast-enhanced CT, and MRI showed a huge mass in the right upper abdomen. We performed pylorus-preserving pancreato-duodenectomy, and the histopathological examination of the excised specimen revealed that the tumor was angiomatosis, probably originating from parapancreatic fibro-adipose tissue. She is doing well and has no evidence of recurrence 8 years after the operation. A complete surgical excision should be performed as curative treatment for pancreatic angiomatosis, which is an extremely rare disease when not associated with Von Hippel–Lindau syndrome.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. HR Parvey RL Eisenberg DM Morris WD Grafton PC Meyers (1990) ArticleTitleConfusing similarities between peripancreatic retroperitoneal lymphangioma and other lesions AJR Am J Roentgenol 154 1125 Occurrence Handle2108562 Occurrence Handle1:STN:280:DyaK3c3gvFOqsQ%3D%3D

    PubMed  CAS  Google Scholar 

  2. R Radin S Weiner M Koenigsberg M Gold R Bernstein (1983) ArticleTitleRetroperitoneal cystic lymphangioma Am J Radiol 140 733–4 Occurrence Handle1:STN:280:DyaL3s7nsFahsg%3D%3D

    CAS  Google Scholar 

  3. PP Rosen (1985) ArticleTitleVascular tumors of the breast. 3. Angiomatosis Am J Surg Pathol 9 652–8 Occurrence Handle4051097 Occurrence Handle10.1097/00000478-198509000-00004 Occurrence Handle1:STN:280:DyaL28%2FitleltA%3D%3D

    Article  PubMed  CAS  Google Scholar 

  4. F Schajowicz CL Aiello MV Francone RE Giannini (1978) ArticleTitleCystic angiomatosis (hamartomatous haemo-lymphangiomatosis) of bone J Bone Joint Surg 60 100–3 Occurrence Handle1:STN:280:DyaE1c7gvFKjtg%3D%3D

    CAS  Google Scholar 

  5. E Paal LD Thompson CS Heffess (1998) ArticleTitleA clinicopathologic and immunohistochemical study of ten pancreatic lymphangiomas and a review of the literature Cancer 82 2150–8 Occurrence Handle9610694 Occurrence Handle10.1002/(SICI)1097-0142(19980601)82:11<2150::AID-CNCR9>3.0.CO;2-Z Occurrence Handle1:STN:280:DyaK1c3nt1ahtw%3D%3D

    Article  PubMed  CAS  Google Scholar 

  6. E Paal LD Thompson CS Heffess (1999) ArticleTitleMucinous cystic neoplasm (mucinous cystadenocarcinoma of low-grade malignant potential) of the pancreas: a clinicopathologic study of 130 cases Am J Surg Pathol 23 1–16 Occurrence Handle10.1097/00000478-199901000-00001

    Article  Google Scholar 

  7. J Hayashi Y Yamashita T Kakegawa M Ogata O Nakashima (1994) ArticleTitleA case of cystic lymphangioma of the pancreas J Gastroenterol 29 372–6 Occurrence Handle8061809 Occurrence Handle10.1007/BF02358380 Occurrence Handle1:STN:280:DyaK2czktVSktg%3D%3D

    Article  PubMed  CAS  Google Scholar 

  8. JK Chan WY Tsang MY Pau MC Tang SW Pang CD Fletcher (1993) ArticleTitleLymphangiomyomatosis and angiomyolipoma: closely related entities characterized by hamartomatous proliferation of HMB-45-positive smooth muscle Histopathology 22 445–55 Occurrence Handle8344654 Occurrence Handle10.1111/j.1365-2559.1993.tb00158.x Occurrence Handle1:STN:280:DyaK3szksF2ksw%3D%3D

    Article  PubMed  CAS  Google Scholar 

  9. IR Daltrey CD Johnson (1996) ArticleTitleCystic lymphangioma of the pancreas Postgrad Med J 72 564–6 Occurrence Handle8949598 Occurrence Handle1:STN:280:DyaK2s7gs1ymsg%3D%3D Occurrence Handle10.1136/pgmj.72.851.564

    Article  PubMed  CAS  Google Scholar 

  10. ER Wayne JD Burrington WC Bailey BE Favara JB Campbell (1973) ArticleTitleRetroperitoneal lymphangioma: an unusual cause of the acute surgical abdomen J Pediatr Surg 8 831–2 Occurrence Handle4753018 Occurrence Handle10.1016/0022-3468(73)90430-2 Occurrence Handle1:STN:280:DyaE2c%2FjtVygtw%3D%3D

    Article  PubMed  CAS  Google Scholar 

  11. S Glasker (2005) ArticleTitleCentral nervous system manifestations in VHL: genetics, pathology and clinical phenotypic features Fam Cancer 4 37–42 Occurrence Handle15883708 Occurrence Handle10.1007/s10689-004-5347-6

    Article  PubMed  Google Scholar 

  12. C Stolle G Glenn B Zbar JS Humphrey P Choyke M Walther et al. (1998) ArticleTitleImproved detection of germline mutations in the von Hippel–Lindau disease tumor suppressor gene Hum Mutat 12 417–23 Occurrence Handle9829911 Occurrence Handle10.1002/(SICI)1098-1004(1998)12:6<417::AID-HUMU8>3.0.CO;2-K Occurrence Handle1:CAS:528:DyaK1cXnsVyksb4%3D

    Article  PubMed  CAS  Google Scholar 

  13. J Hoebeeck R van der Luijt B Poppe E De Smet N Yigit K Claes et al. (2005) ArticleTitleRapid detection of VHL exon deletions using real-time quantitative PCR Lab Invest 85 24–33 Occurrence Handle15608663 Occurrence Handle1:CAS:528:DC%2BD2cXhtFGgs7nI

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

So, T., Matsuda, H., Sonoda, T. et al. Pancreatic Angiomatosis: Report of a Case. Surg Today 38, 72–75 (2008). https://doi.org/10.1007/s00595-007-3568-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00595-007-3568-7

Key words

Navigation