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Case Reports in Medicine
Volume 2012 (2012), Article ID 951358, 4 pages
http://dx.doi.org/10.1155/2012/951358
Case Report

Huge Cystic Lymphangioma of the Pancreas Mimicking Pancreatic Cystic Neoplasm

1Department of Surgery, Oncology, and Gastroenterology, University of Padua, 35128 Padua, Italy
2Department of Pathology, University of Padua, 35128 Padua, Italy
3Department of Radiology, Bassano General Hospital, 36061 Bassano, Vicenza, Italy

Received 5 September 2012; Accepted 19 October 2012

Academic Editor: Tobias Keck

Copyright © 2012 Enrico Dalla Bona et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Lymphangiomas of the pancreas are very rare benign tumors of lymphatic origin, accounting for less than 1% of these neoplasms. We report a case of a 55-year-old woman who presented with a palpable mass in the left abdomen. Abdominal sonography and computed tomography showed a lobulated, hypodense mass extending from the left diaphragm to the pelvis, measuring  cm. A preoperative diagnosis of mucinous cystadenoma of the pancreas was suggested and the patient underwent laparotomy. Distal pancreatectomy with splenectomy was performed, encompassing a segment of descending colon because of close relationship to the mass. The cystic mass was histologically diagnosed as lymphangioma of the pancreas. The patient is well and free of disease 12 months after surgery. Pancreatic lymphangioma should be kept in mind when a huge, multiloculated mass is encountered in the abdomen, especially in adult women. Although lymphangioma is considered a benign tumor, involvement of adjacent organs sometimes occurs and extended resection is required to obtain a radical treatment.