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BMJ Case Reports 2018; doi:10.1136/bcr-2018-226456
  • Rare disease
  • CASE REPORT

Rare case of adult pancreatic haemangioma and literature review

  1. Magali Lúcia Kuga2,3
  1. 1Cardiologia e Cirugia Vascular, Faculdade de Medicina de Sao Jose do Rio Preto, São José do Rio Preto, Brazil
  2. 2Cirurgia Geral, Hospital Austa, Sao Jose Rio Preto, Brazil
  3. 3Cirurgia Geral, Faculdade de Medicina de Sao Jose do Rio Preto, São José do Rio Preto, São Paulo, Brazil
  4. 4Cirurgia Geral, Faculdade Ceres Curso de Medicina, Sao Jose do Rio Preto, Brazil
  1. Correspondence to Dr Selma Regina de Oliveira Raymundo, selma_ray{at}terra.com.br
  • Accepted 7 September 2018
  • Published 7 October 2018

Summary

Pancreatic haemangiomas are benign vascular tumours very rare in adults. Twenty-two cases are described in the literature. The symptoms are non-specific, and therefore rarely clinically suspected, and the vast majority are incidental findings in imaging tests such as ultrasound, CT, angiography or MRI. They appear on CT as a cystic lesion with contrast enhancement in the arterial phase. We present the case of a 36-year-old male patient with no history of disease, referred with lumbar pain and suspected renal calculus after tomography showing hypervascular enhancement in the pancreatic body and infiltrative lesion (possible neuroendocrine neoplasia) on MRI and biliopancreatic echoendoscopy. He was submitted to laparotomy with subtotal pancreatectomy and splenectomy and satisfactory evolution.

Footnotes

  • Contributors Substantial contributions to the conception or design of the work, or the acquisition, analysis or interpretation of data: SRdOR, KMKH, MLK, KGH. Drafting the work or revising it critically for important intellectual content: SRdOR, KMKH, MLK. Final approval of the version published: SRdOR, KMKH, MLK, KGH. Agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved: SRdOR, KGH, MLK, KGH.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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