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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Main Authors: Silke François, Manuella Martin, Olivier Costa, Daniel Urbain, Fazia Mana
Format: Article
Language:English
Published: Hindawi Limited 2018-01-01
Series:Case Reports in Gastrointestinal Medicine
Online Access:http://dx.doi.org/10.1155/2018/9591420
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spelling 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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AT manuellamartin cysticlymphangiomaaretriglyceridesalwaysmeasurable
AT oliviercosta cysticlymphangiomaaretriglyceridesalwaysmeasurable
AT danielurbain cysticlymphangiomaaretriglyceridesalwaysmeasurable
AT faziamana cysticlymphangiomaaretriglyceridesalwaysmeasurable
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