The authors declare they have no competing interests.
Study conception and design: JAS. Data acquision: JAS, OJG, EG. Data interpretation: JAS, OJG, EG. Drafting of the manuscript: JAS. Manuscript editing and final approval: JAS, OJG, EG.
Pancreatic tumors in pregnancy are rare but clinically challenging. Careful diagnostic workup, including appropriate imaging examinations, should be performed to evaluate surgery indications and timing . In the present case a diagnosis of an adult pancreatic hemangioma was made. We were not able to identify a similar case in the very sparse literature on this rare disease.
A 30-year-old woman at 12 weeks of gestation was diagnosed with a large pancreatic tumor having a cystic pattern based on imaging. Although the preoperative diagnosis was uncertain, patient preference and clinical symptoms and signs suggested surgery. Open distal pancreatic resection including splenectomy was performed, and complete resection of the large cystic tumor was successfully achieved, with no postoperative complications. Although a solid pseudopapillary epithelial neoplasm (SPEN) was suspected, specimen morphology, including immunohistochemistry, supported the diagnosis of an adult benign pancreatic hemangioma.
Although mucinous cystic neoplasm (MCN) and adenocarcinoma are the most common pancreatic tumors during pregnancy, various other malignant and benign lesions can be encountered. This report adds to the very small number of pancreatic hemangiomas reported in the literature and involves the first patient diagnosed with this rare condition during pregnancy. Careful clinical considerations regarding diagnostic workup and treatments are required to ensure that mother and child receive the best possible care.
Sucandy I, Tellagorry J, Kolff JW. Minimally invasive surgical management of acute cholecystitis during pregnancy: what are the recommendations? Am Surg. 2013;79:E251–2. PubMed
Gundling F, Nerlich A, Heitland W, Schepp W. Neuroendocrine pancreatic carcinoma after initial diagnosis of acute postpartal coeliac disease in a 37-year old woman - fatal coincidence or result of a neglected disease? Anticancer Res. 2014;34:2449–54. PubMed
- Adult pancreatic hemangioma in pregnancy – concerns and considerations of a rare case
Jon Arne Søreide
Ole Jakob Greve
- BioMed Central
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