Tanimu Sabo, Resnick Jeffrey, Onitilo Adedayo A
Department of Gastroenterology, Marshfield Clinic Weston Center, Weston, Wisconsin, USA.
BMJ Case Rep. 2013 Oct 3;2013:bcr2013200210. doi: 10.1136/bcr-2013-200210.
A 73-year-old man presented with a 5-month history of intermittent nausea, vomiting, central abdominal discomfort and a 17-pound weight loss over the past year. Laboratory testing, including a complete blood count with differential, liver function testing, amylase and lipase studies were normal. A CT scan showed a bilobed cystic lesion inferior to the body of the pancreas. An endoscopic ultrasound revealed a 5.3×3.9 cm, anechoic, bilobed cystic lesion, extrinsic to the body of the pancreas with a 1-2 mm septation and a normal pancreas. Fine-needle aspiration revealed a milky-white aspirate with negative cytology. Laboratory assessment of the cystic aspirant revealed carcinoembryonic antigen 1.7 ng/mL, amylase 148 units/L, cholesterol 300 mg/dL, and carbohydrate antigen 19-9 3 units/mL. He underwent resection of the mass, with the histopathology confirming a diagnosis of peripancreatic lymphangioma. He did well after the surgery with interval resolution of his symptoms.
一名73岁男性，有5个月间歇性恶心、呕吐、中腹部不适病史，过去一年体重减轻17磅。实验室检查，包括全血细胞计数及分类、肝功能检查、淀粉酶和脂肪酶检查均正常。CT扫描显示胰腺体部下方有一个分叶状囊性病变。内镜超声显示一个5.3×3.9厘米的无回声、分叶状囊性病变，位于胰腺体部外部，有1-2毫米的分隔，胰腺正常。细针穿刺抽出乳白色液体，细胞学检查为阴性。对囊性抽出物的实验室评估显示癌胚抗原1.7纳克/毫升、淀粉酶148单位/升、胆固醇300毫克/分升、糖类抗原19-9 3单位/毫升。他接受了肿块切除术，组织病理学确诊为胰周淋巴管瘤。术后恢复良好，症状逐渐缓解。
