Abstract
IntroductionMesenchymal tumors comprise only 1 to 2% of all pancreatic tumors, being lipomas a rare variant of mesenchymal tumors of the pancreas.Presentation of caseThis is the report of an 82-year-old woman who presented at the medical emergency room in a fourth level clinic with five days of nausea evolution, emesis, jaundice, coluria, acholia, and abdominal pain in the right hypochondrium. Diagnostic imaging and ultrasonography discovered and characterized a significant dilation of the intra and extrahepatic bile duct, caused by the presence of a mass in the head of the pancreas of lipomatous origin. The obstruction was successfully managed with a metallic fully covered removable biliary stent.DiscussionSome studies have reported the incidence of pancreatic lipoma being 0.08% and 0.012%, and the vast majority of them (>95%) are asymptomatic and properly handled without intervention, however, symptomatic tumors require surgical treatment. In our case, the surgical treatment was not suitable because of her multiple comorbidities, cardiovascular risk and advanced age. Our management continued to be a minimally invasive approach, without general anesthesia and good postoperative results.ConclusionTo the best of our knowledge we report the first case of symptomatic pancreatic lipoma in Colombia with unique management, and the second in Latin America.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.