A 6-year-old boy presented with a large subhepatic mass associated with pain abdomen. Exploration revealed a tumor in lesser omentum, completely separate from the normal pancreas that was excised completely. Histopathology suggested acinar cell carcinoma of pancreatic origin in an ectopic location. The child is well at 5 months follow-up.

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Lingual leiomyomatous hamartoma (LLH) is a rare cause of midline tongue swelling. LLH with bifid tongue and ankyloglossia is still rarer, and so far only one case report in an adult exists in the literature. Here, we report a 5 months old male infant with a 1.5 cm 9 0.5 cm LLH with bifid tongue and ankyloglossia. Clinical relevanceIt is important to excise the swelling early to have normal feeding and speech development. Knowing that it is LLH, confirmed that no other treatment is required, except a close follow-up for ruling out recurrences. Additionally, ankyloglossia correction and glossoplasty were also done which required a close follow-up. The histopathological diagnosis was a surprise, and it directed us to recheck whether the child had any syndromes that predisposed him to LLH or not.Oral Surgery 10 (2017) e30--e34.

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