title: Pulmonary lymphangitis carcinomatosa and acute pancreatitis: a rare presentation of choledochal cyst.
abstract: Pulmonary lymphangitis carcinomatosa is an unusual cause of death in a young adult. This case describes an apparently healthy young woman who presented with severe acute pancreatitis, which is a recognized complication of a choledochal cyst. Autopsy examination revealed advanced malignancy with poorly differentiated adenocarcinoma penetrating the wall of the choledochal cyst and metastatic adenocarcinoma in the lymph nodes, lungs and kidneys. This case emphasises the unusual presentation of a choledochal cyst with acute pancreatitis and the aggressive nature of malignancy associated with this congenital anomaly.
authors.affiliation: Department of Surgery, King's College Hospital, London.
authors.forename: D M
authors.initials: DM
authors.lastname: Kelly
authors.forename: P J
authors.initials: PJ
authors.lastname: O'Donnell
authors.forename: E R
authors.initials: ER
authors.lastname: Howard
mesh_terms: D000208:Acute Disease; D000230:Adenocarcinoma / Q000473:pathology*; D000328:Adult; D001650:Bile Duct Neoplasms / Q000473:pathology*; D002471:Cell Transformation, Neoplastic; D015529:Choledochal Cyst / Q000150:complications / Q000473:pathology*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology*; D008205:Lymphangitis / Q000473:pathology*; D010195:Pancreatitis / Q000209:etiology*