Conservative management of adult pancreatic haemangioma: case study and literature review

BMJ Case Rep. 2021 Jan 26;14(1):e239147. doi: 10.1136/bcr-2020-239147.

Abstract

Pancreatic haemangiomas are a rare cause of pancreatic lesions in adults. Diagnosis is challenging as they are seldom suspected and difficult to differentiate on imaging. Historically, pancreatic haemangiomas have been managed surgically despite their benign nature, largely due to diagnostic uncertainty. We present the case of a 69-year-old woman who, through combination of radiological, biochemical and endoscopic investigations, was diagnosed with pancreatic haemangioma and managed conservatively, avoiding the morbidity and mortality associated with surgical resection of a benign lesion.

Keywords: gastroenterology; general surgery; pancreas and biliary tract; radiology.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Cholangiopancreatography, Magnetic Resonance
  • Conservative Treatment
  • Endosonography
  • Female
  • Hemangioma / diagnostic imaging*
  • Humans
  • Incidental Findings
  • Magnetic Resonance Imaging
  • Organometallic Compounds
  • Pancreatic Neoplasms / diagnostic imaging*
  • Positron-Emission Tomography
  • Radiopharmaceuticals
  • Tomography, X-Ray Computed

Substances

  • Organometallic Compounds
  • Radiopharmaceuticals
  • gallium Ga 68 dotatate