Article Text

Download PDFPDF
Rare case of pancreatic lipomatous hamartoma
  1. Chin Li Tee1,
  2. Eliz Yuyuan Lin1,
  3. Manish M Bundele2 and
  4. Jee Keem Low1,1
  1. 1Department of Hepato-Pancreatico-Biliary Surgery, Tan Tock Seng Hospital, Singapore
  2. 2Department of Pathology, Tan Tock Seng Hospital, Singapore
  1. Correspondence to Dr Chin Li Tee; tee_jimmy{at}


A middle-aged man had an incidental finding of 10.1 cm lipomatous mass arising from pancreatic body/neck detected on CT scan. He was asymptomatic. He underwent surgical resection of the mass due to concern for malignancy. His postoperative course was complicated by a high-volume pancreatic leak of approximately 900 mL/day. He underwent endoscopic retrograde cholangiopancreatography and insertion of a pancreatic stent, with some improvement in the pancreatic leak. His leak eventually settled after 3 months. The final histopathology showed lobules of mature adipocytes with small islands of disorganised benign pancreatic ducts and acini interspersed within them, suggestive of pancreatic hamartoma of lipomatous variant. Pancreatic lipomatous hamartomas are rare and are often diagnosed on final histopathology when the initial resection was performed due to diagnostic uncertainty or concern for malignancy. It is a benign lesion with an indolent course and must be discriminated from other lipomatous lesions of the pancreas. An awareness of the condition is important to help guide management.

  • General surgery
  • Pancreas and biliary tract

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Contributors CLT is responsible for writing the main body of the case report. EYL is responsible for writing the radiological aspect of the case. MMB is responsible for writing the pathology aspect of the case. JKL is responsible for writing the discussion section of the case report.

  • 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.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

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