title: Cavernous hemangioma of adult pancreas: A case report and literature review.
abstract: Pancreatic hemangioma is a rare type of benign vascular tumor. Low clinical suspicion and inability of current cross sectional imaging techniques to differentiate it from other pancreatic lesions, contribute to the difficulty in making the correct diagnosis. Without a definitive diagnosis, and due to concern for malignancy, in many instances, surgery is performed. We report a case of pancreas cavernous hemangioma in an 18-year-old female. The patient presented with three-month history of epigastric pain. Physical examination and routine blood tests were normal. Abdominal Computed Tomography scan revealed a 5 cm × 6 cm complex non-enhancing cystic mass in the head of pancreas. Magnetic resonance imaging, endoscopic ultrasonography (EUS) and EUS guided fine needle aspiration cytology were non-diagnostic. Because of uncontrolled symptoms, the patient underwent surgical resection. Histopathology and Immunohistochemical staining confirmed the diagnosis of cavernous hemangioma of pancreas.
authors.affiliation: Utpal Mondal, Laura Rosenkranz, Division of Gastroenterology and Nutrition, School of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229, United States.
authors.forename: Utpal
authors.initials: U
authors.lastname: Mondal
authors.affiliation: Utpal Mondal, Laura Rosenkranz, Division of Gastroenterology and Nutrition, School of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229, United States.
authors.forename: Nichole
authors.initials: N
authors.lastname: Henkes
authors.affiliation: Utpal Mondal, Laura Rosenkranz, Division of Gastroenterology and Nutrition, School of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229, United States.
authors.forename: David
authors.initials: D
authors.lastname: Henkes
authors.affiliation: Utpal Mondal, Laura Rosenkranz, Division of Gastroenterology and Nutrition, School of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229, United States.
authors.forename: Laura
authors.initials: L
authors.lastname: Rosenkranz
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000293:Adolescent; D014408:Biomarkers, Tumor / Q000032:analysis; D044963:Biopsy, Fine-Needle; D049448:Cholangiopancreatography, Magnetic Resonance; D002763:Cholecystectomy; D019160:Endosonography; D005260:Female; D006392:Hemangioma, Cavernous / Q000737:chemistry / Q000150:complications / Q000473:pathology* / Q000601:surgery; D006801:Humans; D007150:Immunohistochemistry; D008197:Lymph Node Excision; D010190:Pancreatic Neoplasms / Q000737:chemistry / Q000150:complications / Q000473:pathology* / Q000601:surgery; D016577:Pancreaticoduodenectomy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D014408:Biomarkers, Tumor
keywords: Endoscopic ultrasonography; Endoscopic ultrasound; Fine needle aspiration; Hemangioma; Pancreas