Case Report

Giant Cystic Lymphangioma of Pancreas –A Rarity

CicyP.J., Sansho E.U., Lekshmidevi P, Philip Umman, Sandeep Varghese and John S. Kurian
World Journal of Pathology 2014, 3:14

Abstract

Lymphangiomas are rare benign neoplasms common in head and neck region. Intraabdominal lymphangiomas are rare and pancreatic cystic lymphangiomas (PCLs) account for only 1%of such neoplasms. To the best of our knowledge only about 75 cases have been reported including this case and the average size was 20cms.Though benign, PCLs can cause severe abdominal discomfort and may even rupture. Here we report a case of PCL in a 21 yr old male who presented with abdominal pain and epigastric mass .Clinicoradiological evaluation revealed a multicystic septate mass in association with the pancreas about 40x30cms.With the preoperative differential diagnosis of pseudocyst pancreas/cystic neoplasm we proceeded with exploratory laparotomy. A distal pancreatectomy and splenectomy was done since the lesion was arising from the body of the pancreas. Histological examination revealed a multicystic lesion lined by endothelial cells with lymphocytes in the wall and the diagnosis of PCL was made.

Key words

Cystic, Distal pancreatectomy, Lymphangioma, Pancreas

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