Giant pancreatic lymphangioma with mesenteric extension – A case report

Cystic lymphangioma of the pancreas is uncommon entity. Complete excision is necessary to prevent recurrence. We present huge multicystic pancreatic lymphangioma extending beyond the pancreatic margin into the mesentery causing displacement of bowel loops and scalloping of liver surface. Extension into the mesentery mimicked the other cystic lesions of the mesentery, but the expansion and thinning of pancreatic parenchyma by cystic spaces suggest pancreatic origin. The cystic mass was resected en-block along with pancreatic body and tail. Preoperative diagnosis of this entity is usually difficult. Lymphangioma should be considered in the differentials of huge multicystic lesion involving pancreas and mesentery.