Solid Pseudopapillary Tumor of the Pancreas was Found in a Child After a Blunt Abdominal Trauma

Abstract

An 11-year-old female was admitted to our hospital because of abdominal pain due to a blunt abdominal trauma three days earlier. Ultrasonography, computed tomography, and magnetic resonance imaging revealed a cystic mass with a solid component accompanied by hemorrhage located in the pancreas body and tail. She was diagnosed as having solid pseudopapillary tumor (SPT) of the pancreas, and surgery was performed. The margin of the tumor was unclear. The tumor adhered strongly to the splenic artery and vein. It is impossible to perform enucleation and preserve the spleen. Distal pancreatectomy with splenectomy was performed. Her postoperative course was uneventful and no metastasis or local recurrence was found 24 months after the surgery. SPT is an important differential diagnosis of a pancreatic mass after a blunt abdominal trauma. Sufficient preoperative evaluation is important because various operative procedures should be taken into consideration at the time of extirpation of SPT.