Abstract
A 12-year-old girl with no significant medical or surgical history presented to a practicing physician with upper abdominal pain. Her symptom persisted inspite of medication, and she was referred to our institution. Intravenous contrast material-enhanced computed tomography (CT) was performed, and it showed a round well-margined cystic mass (diameter, 50×48 mm) that had a solid component in the border region of the pancreatic tail. Magnetic resonance imaging (MRI) also showed a simple cystic tumor in the pancreatic tail. T1-weighted MRI showed a high-intensity area in the circumference of the tumor ; this was suspected to be intratumor bleeding. Solid pseudopapillary tumor of the pancreas was suspected, and laparoscopic spleen-preserving distal pancreatectomy was performed. The postoperative course was uneventful, and the patient was discharged from the hospital on the 13th postoperative day. Minimally invasive surgery such as laparoscopic surgery should be considered for benign or borderline tumor of the pancreas.
