Pancreatic hemolymphangioma

JOP. 2014 Jul 28;15(4):399-402. doi: 10.6092/1590-8577/2649.


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.

Publication types

  • Case Reports

MeSH terms

  • Diagnosis, Differential
  • Fatal Outcome
  • Female
  • Humans
  • Lymphangioma / diagnosis*
  • Lymphangioma / surgery
  • Middle Aged
  • Pancreatic Neoplasms / diagnosis*
  • Pancreatic Neoplasms / surgery
  • Pancreaticoduodenectomy
  • Tomography, X-Ray Computed