title: Adult pancreatic hemangioma in pregnancy--concerns and considerations of a rare case.
abstract: BACKGROUND
  Pancreatic tumors in pregnancy are rare but clinically challenging. Careful diagnostic workup, including appropriate imaging examinations, should be performed to evaluate surgery indications and timing . In the present case a diagnosis of an adult pancreatic hemangioma was made. We were not able to identify a similar case in the very sparse literature on this rare disease.
  
  
  METHODS
  A 30-year-old woman at 12 weeks of gestation was diagnosed with a large pancreatic tumor having a cystic pattern based on imaging. Although the preoperative diagnosis was uncertain, patient preference and clinical symptoms and signs suggested surgery. Open distal pancreatic resection including splenectomy was performed, and complete resection of the large cystic tumor was successfully achieved, with no postoperative complications. Although a solid pseudopapillary epithelial neoplasm (SPEN) was suspected, specimen morphology, including immunohistochemistry, supported the diagnosis of an adult benign pancreatic hemangioma.
  
  
  CONCLUSIONS
  Although mucinous cystic neoplasm (MCN) and adenocarcinoma are the most common pancreatic tumors during pregnancy, various other malignant and benign lesions can be encountered. This report adds to the very small number of pancreatic hemangiomas reported in the literature and involves the first patient diagnosed with this rare condition during pregnancy. Careful clinical considerations regarding diagnostic workup and treatments are required to ensure that mother and child receive the best possible care.
authors.affiliation: Department of Gastrointestinal Surgery, Stavanger University Hospital, N-4068, Stavanger, Norway. jonarne.soreide@uib.no.|Department of Clinical Medicine, University of Bergen, Bergen, Norway. jonarne.soreide@uib.no.
authors.forename: Jon Arne
authors.initials: JA
authors.lastname: Søreide
authors.affiliation: Department of Radiology, Stavanger University Hospital, Stavanger, Norway. ole-jakob.greve@sus.no.
authors.forename: Ole Jakob
authors.initials: OJ
authors.lastname: Greve
authors.affiliation: Department of Pathology, Stavanger University Hospital, Stavanger, Norway. einar.gudlaugsson@sus.no.
authors.forename: Einar
authors.initials: E
authors.lastname: Gudlaugsson
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006391:Hemangioma / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D010180:Pancreatectomy / Q000379:methods*; D010190:Pancreatic Neoplasms / Q000175:diagnosis* / Q000601:surgery; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic; D011256:Pregnancy Outcome; D018608:Ultrasonography, Doppler