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Pancreatic Lymphangioma

A Case Report and Literature Review

Karajgikar, Jay, MD*; Deshmukh, Sandeep, MD

Journal of Computer Assisted Tomography: March/April 2019 - Volume 43 - Issue 2 - p 242–244
doi: 10.1097/RCT.0000000000000818
Abdominal Imaging
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We report a case of a 29-year-old woman with a pancreatic lymphangioma who presented clinically as a case of acute pancreatitis. Lymphangiomas are benign tumors of vascular origin with lymphatic differentiation, most commonly found in the head and neck. Pancreatic lymphangiomas are extremely rare, accounting for only 1% of abdominal lymphangiomas, with approximately 60 cases reported in the literature. Although imaging findings are characteristic and can point to the diagnosis, confirmation with fine needle aspiration and histopathologic correlation is necessary. Although these lesions are benign, they can often present a diagnostic dilemma and can be mistaken for other cystic pancreatic lesions, namely, pseudocysts, cysts, cystadenomas, and cystadenocarcinomas.

From the *Department of Radiology, NYU Langone School of Medicine, New York, NY;

Department of Radiology, Thomas Jefferson University School of Medicine, Philadelphia, PA.

Received for publication November 1, 2017; accepted September 13, 2018.

Correspondence to: Jay Karajgikar, MD, Department of Radiology, NYU Langone School of Medicine, 560 1st Ave, 2nd Floor, New York, NY 10016 (e-mail: jay.karajgikar@nyumc.org).

An expanded discussion of this “Case of the Quarter” can be found at the SCBT-MR Web site: scbtmr.dnnstaging.com.

The authors declare no conflict of interest.

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