人類学
オープンアクセス

概要

リンパ管腫は膵周囲嚢胞性腫瘍として現れる：超音波内視鏡の有用性

ヘザー・ペンバートン、モハメド・スルタン、ワリド・シャルーブ、シャノン・モラレス、モハメド・アル・ブゲイ、ジル・スミス、ナディム・ハッダッド

Pancreatic lymphangiomas are very rare benign cystic lesions that arise from abnormal proliferation of the lymphatic vessels. Although benign, pancreatic lymphangiomas may mimic more concerning cystic neoplasms and therefore require a thorough diagnostic workup. Herein we report a case of a 50-year-old female who presented with a peripancreatic cyst measuring 2.5x3.6x4.7cm that was discovered incidentally during an abdominal ultrasound. She underwent endoscopic ultrasound with fine needle aspiration where chylous fluid was drained. Cytology was negative for malignancy and fluid chemistry demonstrated a significantly elevated triglyceride level consistent with a pancreatic lymphangioma. It is unclear whether asymptomatic pancreatic lymphangiomas are best managed conservatively or with surgical intervention. The patient has not proceeded with surgery at this time.