Cystic Lymphangioma: Are Triglycerides Always Measurable?
The presence of chylous fluid with high triglycerides levels on endoscopic ultrasound- (EUS-) guided fine needle aspiration (FNA) is very pathognomonic for the diagnosis of cystic lymphangiomas of the pancreas. In our case report the puncture of the pancreatic cyst showed a typical milky fluid thoug...
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doaj-37e26b5018ae4878b28bb011ff91d9522020-11-24T21:35:07ZengHindawi LimitedCase Reports in Gastrointestinal Medicine2090-65282090-65362018-01-01201810.1155/2018/95914209591420Cystic Lymphangioma: Are Triglycerides Always Measurable?Silke François0Manuella Martin1Olivier Costa2Daniel Urbain3Fazia Mana4Universitair Ziekenhuis Brussel (UZ Brussel), Vrije Universiteit Brussel (VUB), Department of Gastro-Enterology, Laarbeeklaan 101, 1090 Brussels, BelgiumUniversitair Ziekenhuis Brussel (UZ Brussel), Department of Clinical Biology, Laarbeeklaan 101, 1090 Brussels, BelgiumUniversitair Ziekenhuis Brussel (UZ Brussel), Department of Clinical Biology, Laarbeeklaan 101, 1090 Brussels, BelgiumUniversitair Ziekenhuis Brussel (UZ Brussel), Vrije Universiteit Brussel (VUB), Department of Gastro-Enterology, Laarbeeklaan 101, 1090 Brussels, BelgiumUniversitair Ziekenhuis Brussel (UZ Brussel), Vrije Universiteit Brussel (VUB), Department of Gastro-Enterology, Laarbeeklaan 101, 1090 Brussels, BelgiumThe presence of chylous fluid with high triglycerides levels on endoscopic ultrasound- (EUS-) guided fine needle aspiration (FNA) is very pathognomonic for the diagnosis of cystic lymphangiomas of the pancreas. In our case report the puncture of the pancreatic cyst showed a typical milky fluid though measurable triglyceride concentrations were absent in the laboratory. Two possible explanations were found. First of all grossly lipemic samples show a slower rate of color development than do clear serums which can produce a false negative result if the sample is insufficiently diluted. Secondly, high lipase levels can divide triglycerides in glycerol and fatty acids, making the concentration of triglycerides undetectable.http://dx.doi.org/10.1155/2018/9591420 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Silke François Manuella Martin Olivier Costa Daniel Urbain Fazia Mana |
spellingShingle |
Silke François Manuella Martin Olivier Costa Daniel Urbain Fazia Mana Cystic Lymphangioma: Are Triglycerides Always Measurable? Case Reports in Gastrointestinal Medicine |
author_facet |
Silke François Manuella Martin Olivier Costa Daniel Urbain Fazia Mana |
author_sort |
Silke François |
title |
Cystic Lymphangioma: Are Triglycerides Always Measurable? |
title_short |
Cystic Lymphangioma: Are Triglycerides Always Measurable? |
title_full |
Cystic Lymphangioma: Are Triglycerides Always Measurable? |
title_fullStr |
Cystic Lymphangioma: Are Triglycerides Always Measurable? |
title_full_unstemmed |
Cystic Lymphangioma: Are Triglycerides Always Measurable? |
title_sort |
cystic lymphangioma: are triglycerides always measurable? |
publisher |
Hindawi Limited |
series |
Case Reports in Gastrointestinal Medicine |
issn |
2090-6528 2090-6536 |
publishDate |
2018-01-01 |
description |
The presence of chylous fluid with high triglycerides levels on endoscopic ultrasound- (EUS-) guided fine needle aspiration (FNA) is very pathognomonic for the diagnosis of cystic lymphangiomas of the pancreas. In our case report the puncture of the pancreatic cyst showed a typical milky fluid though measurable triglyceride concentrations were absent in the laboratory. Two possible explanations were found. First of all grossly lipemic samples show a slower rate of color development than do clear serums which can produce a false negative result if the sample is insufficiently diluted. Secondly, high lipase levels can divide triglycerides in glycerol and fatty acids, making the concentration of triglycerides undetectable. |
url |
http://dx.doi.org/10.1155/2018/9591420 |
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