Conclusions:
Pancreatic lymphangioma is an unusual clinical finding of the pancreas which should be included and evaluated in the differential diagnosis of pancreatic cystic tumors. It is often asymptomatic and diagnosed on imaging. Definitive diagnosis is made with the combination of clinical evaluation, imaging studies and FNA analysis leads to suspicion which can be confirmed on histopathology. Lymphangioma is a benign lesion, if the patient is symptom-free and the lesion is not growing, a patient can be managed conservatively with regular surveillance and imaging is the best strategy. Surgical management is reversed in symptomatic patients, with typical morphology (microcystic) that does not favor spontaneous regression, or cyst expansion endangering adjacent structures and not required and our case reveals the typical imaging and pathognomic ES FNA results of a lymphangioma in an atypical organ.
Conflict of Interest: All authors declare no conflict of interest.
Funding Role: None to declare.
Author Contributions: All authors contributed equally to the drafting of study.
Ethical Statement: The patient signed an informed consent form, as per the ethical guidelines of hospital board.