Cystic Lymphangioma: Are Triglycerides Always Measurable?: Are Triglycerides Always Measurable?

Silke Francois; Manuella Martin; Olivier Costa; Daniel Urbain; Fazia Mana

doi:10.1155/2018/9591420

Cystic Lymphangioma: Are Triglycerides Always Measurable? Are Triglycerides Always Measurable?

Silke Francois, Manuella Martin, Olivier Costa, Daniel Urbain, Fazia Mana

Research output: Contribution to journal › Article › peer-review

Abstract

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.

Original language	English
Article number	9591420
Pages (from-to)	9591420
Number of pages	3
Journal	Case Reports in Gastrointestinal Medicine
Volume	2018
DOIs	https://doi.org/10.1155/2018/9591420
Publication status	Published - 2018

Access to Document

10.1155/2018/9591420

Cite this

@article{464c74f7f792436a8b1d7072b9619743,

title = "Cystic Lymphangioma: Are Triglycerides Always Measurable?: Are Triglycerides Always Measurable?",

abstract = "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.",

author = "Silke Francois and Manuella Martin and Olivier Costa and Daniel Urbain and Fazia Mana",

year = "2018",

doi = "10.1155/2018/9591420",

language = "English",

volume = "2018",

pages = "9591420",

journal = "Case Reports in Gastrointestinal Medicine",

issn = "2090-6528",

publisher = "Hindawi Publishing Corporation",

}

TY - JOUR

T1 - Cystic Lymphangioma: Are Triglycerides Always Measurable?

T2 - Are Triglycerides Always Measurable?

AU - Francois, Silke

AU - Martin, Manuella

AU - Costa, Olivier

AU - Urbain, Daniel

AU - Mana, Fazia

PY - 2018

Y1 - 2018

N2 - 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.

AB - 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.

U2 - 10.1155/2018/9591420

DO - 10.1155/2018/9591420

M3 - Article

VL - 2018

SP - 9591420

JO - Case Reports in Gastrointestinal Medicine

JF - Case Reports in Gastrointestinal Medicine

SN - 2090-6528

M1 - 9591420

ER -