Related Experiment Video

Updated: May 23, 2026

Treatment of Middle-segment Pancreatic Benign Tumor Using Laparoscopic Central Pancreatectomy with End-to-end Pancreatic Duct Reconstruction
05:11

Treatment of Middle-segment Pancreatic Benign Tumor Using Laparoscopic Central Pancreatectomy with End-to-end Pancreatic Duct Reconstruction

Published on: January 2, 2026

[Cystic lymphatic malformation of the pancreas in a 13-month-old child]

María G Salvo1, Brian M Cavagnari, José H Méndez

  • 1Departamento de Pediatría, Hospital Alemán, Ciudad Autónoma de Buenos Aires.

Archivos Argentinos De Pediatria
|March 28, 2012
PubMed

Insights

Pancreatic lymphatic malformations are rare in children. This case highlights potential complications after surgical resection, suggesting a need to explore non-surgical management for these pancreatic cysts.

Area of Science:

  • Pediatric Surgery
  • Vascular Anomalies
  • Gastrointestinal Surgery

Background:

  • Lymphatic malformations (LMs) arise from abnormal lymphatic development, causing lymph flow obstruction and cyst formation.
  • While commonly found in the neck/axilla (95%), pancreatic LMs are exceptionally rare in pediatric patients.
  • Distinguishing pancreatic LMs from other cystic pancreatic masses is crucial for appropriate management.

Observation:

  • A 13-month-old child presented with a rare pancreatic head lymphatic malformation.
  • Surgical resection via pancreaticoduodenectomy was performed.
  • The patient experienced persistent chylous drainage post-surgery, leading to immunodeficiency and sepsis.

Findings:

  • Pancreaticoduodenectomy for pancreatic head LMs can lead to severe complications like chylous drainage and sepsis.
  • The case underscores the challenges in managing pediatric pancreatic cystic lesions.
  • Non-surgical approaches warrant consideration for pancreatic lymphatic malformations.

Implications:

  • This case suggests that surgical intervention for pancreatic head LMs may carry significant risks in children.
  • Further research into conservative or minimally invasive treatments is needed.
  • Improved diagnostic and therapeutic strategies are required for rare pediatric pancreatic cystic masses.

Related Concept Videos

Chronic Pancreatitis II: Collaborative Care01:29

Chronic Pancreatitis II: Collaborative Care

The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Chronic Pancreatitis I: Introduction01:25

Chronic Pancreatitis I: Introduction

Chronic pancreatitis is a long-standing, relapsing inflammation of the pancreas, characterized by irreversible damage to the gland. It results in progressive destruction of the pancreatic parenchyma, fibrosis, and eventual loss of both exocrine and endocrine function. The disease may evolve gradually after multiple episodes of acute pancreatitis or develop independently.EtiologyChronic pancreatitis can arise from a variety of causes:Alcohol use is the leading cause, accounting for 70–80% of...
Chronic Pancreatitis I: Introduction01:24

Chronic Pancreatitis I: Introduction

The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...