Rare case of adult pancreatic hemangioma and review of the literature.
Pancreatic hemangiomas are a rare type of cystic tumor, with very few cases reported in the literature. Herein, we present the case of a 28-year-old woman who was admitted to our hospital for abdominal pain. A physical examination failed to reveal any abnormalities that could explain her symptoms. A contrast-enhanced computed tomography showed a multilocular cyst with moderately enhanced septa and fluid-fluid levels in the body and tail of the pancreas. A serous cystadenoma or pseudocyst of the pancreas was initially suspected, and the patient underwent a subtotal pancreatectomy and splenectomy. The pathologic diagnosis was a pancreatic hemangioma. This is the second case of pancreatic hemangioma with fluid-fluid levels reported in the literature. Upon imaging, the presentation of this tumor can resemble serous or mucinous cystadenomas, pseudocysts of the pancreas, and side-branch type intraductal papillary mucinous neoplasms. This report reviews the clinical symptoms, radiologic features, pathologic characteristics, differential diagnoses, and treatment of this rare lesion type.
Tao Lu, Cheng Yang, Department of Radiology, Sichuan Academy of Medical Science, Sichuan Provincial People's Hospital, Chengdu 610072, Sichuan Province, China.
Tao
T
Lu
Tao Lu, Cheng Yang, Department of Radiology, Sichuan Academy of Medical Science, Sichuan Provincial People's Hospital, Chengdu 610072, Sichuan Province, China.
Cheng
C
Yang
D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006391:Hemangioma / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D010180:Pancreatectomy; D010190:Pancreatic Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D011237:Predictive Value of Tests; D013156:Splenectomy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
Computed tomography; Hemangioma; Pancreas