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Rare disease
CASE REPORT
Rare case of adult pancreatic haemangioma and literature review
  1. Selma Regina de Oliveira Raymundo1,2,
  2. Kassim Mohamede Kassim Hussain2,3,
  3. Kassim Guzzon Hussein4,
  4. Magali Lúcia Kuga2,3
  1. 1 Cardiologia e Cirugia Vascular, Faculdade de Medicina de Sao Jose do Rio Preto, São José do Rio Preto, Brazil
  2. 2 Cirurgia Geral, Hospital Austa, Sao Jose Rio Preto, Brazil
  3. 3 Cirurgia Geral, Faculdade de Medicina de Sao Jose do Rio Preto, São José do Rio Preto, São Paulo, Brazil
  4. 4 Cirurgia 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

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.

  • hemangioma
  • pancreas and biliary tract
  • gastrointestinal surgery

https://doi.org/10.1136/bcr-2018-226456

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    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.