{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T22:40:05Z","timestamp":1755816005280,"version":"3.44.0"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T00:00:00Z","timestamp":1755734400000},"content-version":"vor","delay-in-days":20,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,8,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Pancreatic lymphangiomas are extremely rare benign cystic lesions of the pancreas, with fewer than 100 cases reported in the literature. They can mimic other cystic pancreatic neoplasms, posing a diagnostic challenge. This case adds to the limited literature and supports conservative management as a safe option in selected patients. A 15-year-old South Asian male presented with right-sided upper abdominal pain persisting for 5\u00a0months. Imaging revealed a large, multiloculated cystic lesion involving the neck and body of the pancreas. Aspiration cytology and cyst fluid analysis (low carcinoembryonic antigen, elevated amylase, lymphocytes) were suggestive of pancreatic lymphangioma. The patient became asymptomatic and was managed conservatively with close monitoring. No surgical intervention was performed. This case demonstrates that conservative management of pancreatic lymphangiomas may be appropriate in asymptomatic or minimally symptomatic adolescents with benign imaging and biochemical features. It reinforces the importance of individualized treatment to avoid unnecessary surgery.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf629","type":"journal-article","created":{"date-parts":[[2025,7,27]],"date-time":"2025-07-27T11:31:46Z","timestamp":1753615906000},"source":"Crossref","is-referenced-by-count":0,"title":["Pancreatic lymphangioma in an adolescent male managed without surgery: a rare case report"],"prefix":"10.1093","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2239-8745","authenticated-orcid":false,"given":"Deedat","family":"Safeer","sequence":"first","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, University of Colombo , No. 25, P.O. Box 271, Kynsey Road, Colombo 08 ,","place":["Sri Lanka"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nilesh","family":"Fernandopulle","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, University of Colombo , No. 25, P.O. Box 271, Kynsey Road, Colombo 08 ,","place":["Sri Lanka"]},{"name":"University Surgical Unit, The National Hospital of Sri Lanka , Colombo 10 ,","place":["Sri Lanka"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chathuranga","family":"Keppetiyagama","sequence":"additional","affiliation":[{"name":"Gastroenterological Surgical Unit, The National Hospital - Kandy , Kandy 20000 ,","place":["Sri Lanka"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7342-0220","authenticated-orcid":false,"given":"Duminda","family":"Subasinghe","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, University of Colombo , No. 25, P.O. Box 271, Kynsey Road, Colombo 08 ,","place":["Sri Lanka"]},{"name":"University Surgical Unit, The National Hospital of Sri Lanka , Colombo 10 ,","place":["Sri Lanka"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,8,21]]},"reference":[{"key":"2025082118242416200_ref1","doi-asserted-by":"publisher","first-page":"100006","DOI":"10.1016\/J.HMEDIC.2023.100006","article-title":"Pancreatic lymphangioma: a case report and review of literature","volume":"1","author":"Gul","year":"2023","journal-title":"Med Rep"},{"key":"2025082118242416200_ref2","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics13020207"},{"key":"2025082118242416200_ref3","doi-asserted-by":"publisher","first-page":"98","DOI":"10.1097\/JP9.0000000000000095","article-title":"Pancreatic lymphangioma: two case reports from an institutional experience with a rare entity and review of literature","volume":"5","author":"Tan-Garcia","year":"2022","journal-title":"J Pancreatol"},{"key":"2025082118242416200_ref4","doi-asserted-by":"publisher","first-page":"136","DOI":"10.4103\/2303-9027.204807","article-title":"Cystic pancreatic lymphangioma diagnosed with endoscopic ultrasound-guided fine needle aspiration","volume":"6","author":"Hussain","year":"2017","journal-title":"Endosc Ultrasound"},{"key":"2025082118242416200_ref5","doi-asserted-by":"publisher","first-page":"181","DOI":"10.1159\/000445373","article-title":"Lymphoepithelial cyst of the pancreas","volume":"10","author":"Arumugam","year":"2016","journal-title":"Case Rep Gastroenterol"},{"key":"2025082118242416200_ref6","doi-asserted-by":"publisher","first-page":"17247","DOI":"10.3748\/WJG.V20.I45.17247","article-title":"Clinical and radiological feature of lymphoepithelial cyst of the pancreas","volume":"20","author":"Terakawa","year":"2014","journal-title":"World J Gastroenterol"},{"key":"2025082118242416200_ref7","doi-asserted-by":"publisher","first-page":"348","DOI":"10.1155\/2010\/456867","article-title":"Lymphoepithelial cysts of the pancreas: the use of endoscopic ultrasound-guided fine-needle aspiration in diagnosis","volume":"24","author":"Karim","year":"2010","journal-title":"Can J Gastroenterol"},{"key":"2025082118242416200_ref8","doi-asserted-by":"crossref","first-page":"24","DOI":"10.14740\/jcs432","article-title":"Pancreatic cystic lymphangioma: case report and literature review","volume":"11","author":"Ojha","year":"2021","journal-title":"J Curr Surg"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/8\/rjaf629\/64104778\/rjaf629.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/8\/rjaf629\/64104778\/rjaf629.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T22:24:27Z","timestamp":1755815067000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf629\/8239451"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8]]},"references-count":8,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2025,8,3]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf629","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2025,8]]},"published":{"date-parts":[[2025,8]]},"article-number":"rjaf629"}}