Solid-pseudopapillary Neoplasm of the Pancreas in a 16-year-old Man Presenting with Hemoperitoneum after a Blunt Abdominal Trauma—A Case Report—

Abstract

Solid-pseudopapillary neoplasm (SPN) of the pancreas is common in young women and rare in young men. It is frequently diagnosed in asymptomatic patients. Here, we report our experience of a young male SPN patient presenting with hemoperitoneum after suffering a blunt abdominal trauma, set in the context of the literature. A 16-year-old man was referred to our hospital with abdominal pain after suffering a blunt abdominal trauma. An abdominal contrast-enhanced CT scan showed a 50-mm mass at the head of the pancreas and retroperitoneal hemorrhage. The hemorrhage was conservatively treated. Another abdominal contrast-enhanced CT scan taken 3 months after the trauma showed the mass to be still present at the pancreatic head. Pancreaticoduodenectomy was performed. The operation took 604 minutes and the patient lost 405 ml of blood. The patient was discharged 35 days after the procedure. The tumor was pathologically diagnosed as SPN. In cases where the main pancreatic duct is narrow or the texture of the pancreas is soft, we always perform a 2-stage pancreatojejunostomy. We performed pancreatojejunostomy 3 months after pancreaticoduodenectomy. Two years following the pancreaticoduodenectomy, the patient is doing well with no evidence of recurrence and malnutrition.