Yüceyar Serdar, Kapan Metin, Ozben Volkan, Ertürk Süphan, Aydin Ismail, Kepil Nuray
Departments of Surgery, Istanbul University, CerrahpaSa School of Medicine, Istanbul.
Turk J Gastroenterol. 2009 Sep;20(3):228-30. doi: 10.4318/tjg.2009.0013.
We herein present a patient referred to our clinic with the complaints of flatulence and left upper quadrant abdominal pain who was diagnosed to have pancreatic cystic neoplasia radiologically. The septated cyst was defined to be 9x12 cm in diameter by abdominal computed tomography and by ultrasonography originated from the tail of the pancreas. Distal pancreatectomy procedure with complete resection of the cystic lesion was performed in this patient. Pathologic examination revealed pancreatic cystic lymphangioma (PCL). Although PCL is very rare in adult patients, it can cause confusion due to the presence of other cystic pathologies of the pancreas. Complete excision of the cyst is mandatory to prevent recurrences. In our case, no recurrence was detected after a two-year follow-up.
我们在此介绍一位因腹胀和左上腹疼痛而转诊至我们诊所的患者，经放射学检查诊断为胰腺囊性肿瘤。腹部计算机断层扫描显示，这个分隔囊肿直径为9×12厘米，超声检查显示其起源于胰腺尾部。该患者接受了远端胰腺切除术，完整切除了囊性病变。病理检查显示为胰腺囊性淋巴管瘤（PCL）。虽然PCL在成年患者中非常罕见，但由于胰腺存在其他囊性病变，它可能会造成混淆。为防止复发，必须完整切除囊肿。在我们的病例中，两年随访后未发现复发。
