Breast Surgery

Dental Surgery

General Surgery

Gynecological Surgery

Head and Neck Surgery

Neurological Surgery


Cystic lymphangioma of the pancreas


Miltiadis Lalountas MD, PhD

Department of Surgery, General Hospital of Polygyros Chalkidiki, Greece


Correspondence to Author: Miltiadis Lalountas MD, PhD


Lymphangiomas are benign cystic tumours of lymphatic origin. Most lymphangiomas occur in the neck and axillary region, and <1% occur in the mesentery or retroperitoneum. Lymphangiomas arising from the pancreas are extremely rare, with fewer than 70 published cases. Histologically, they are polycystic, with the cysts separated by thin septa and lined with endothelial cells. Though congenital, it can affect all age groups, and occurs more frequently in children and females. The authors report the case of a 53-year-old man, in whom a polycystic mass, 28 mm x 25 mm in size, was incidentally discovered by computed tomography in the tail of pancreas, during preoperative examination for a large asymptomatic epigastrocele. At surgery, a well circumscribed polycystic tumour was completely excised, with preservation of the pancreatic duct and the spleen. Histology confirmed a microcystic lymphangioma of the pancreas. Immunohistochemistry showed cystic endothelial cells reactivity to factor VIII-RA (++), CD31 (+++) and CD34 (). The postoperative recovery was uneventful and the patient remained symptom free for two years. Although extremely rare, it is always a challenge to differentiate lymphangioma of the pancreas from other possible cystic like neoplasms and should be taken into consideration.


Cystic, Lymphangioma, Pancreas


Miltiadis Lalountas. Cystic lymphangioma of the pancreas. World Journal of Clinical Surgery 2021.

Journal Info

  • Journal Name: World Journal of Clinical Surgery
  • Impact Factor: 2.709**
  • ISSN: 2766-6182
  • DOI: 10.52338/wjsurgy
  • Short Name: WJCSR
  • Acceptance rate: 55%
  • Volume: 6 (2024)
  • Submission to acceptance: 25 days
  • Acceptance to publication: 10 days


  • Crossref indexed journal
  • Publons indexed journal
  • Pubmed-indexed journal
  • International Scientific Indexing (ISI)-indexed journal
  • Eurasian Scientific Journal Index (ESJI) index journal
  • Semantic Scholar indexed journal
  • Cosmos indexed journal


  • International Reach
  • Peer Review
  • Rapid Publication
  • Open Access
  • High Visibility