Open AccessSpontaneous rupture of solid pseudopapillary tumor of pancreas
Author(s) -
Xiao-feng Xu,
Diyu Chen,
Lei Cao,
Xiaode Feng,
Rongliang Tong,
Shusen Zheng,
Jian Wu
Publication year - 2019
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000017554
Subject(s) - medicine , splenectomy , pancreas , differential diagnosis , distal pancreatectomy , pathological , abdominal trauma , abdominal pain , blunt , radiology , pancreatectomy , solid tumor , abdominal mass , surgery , pathology , cancer , spleen
Solid pseudopapillary tumors (SPT) account for 1% to 3% of all pancreatic tumors. They have low malignant potential with a favorable prognosis, and predominantly occur in young women. The pathogenesis and clinical behavior of SPT are still uncertain. In addition, most ruptures of SPT were associated with blunt abdominal trauma, while spontaneous ruptures seemed to be quite rare. Up to now, there have been only 3 spontaneous ruptured SPT cases reported worldwide. Patient concerns: Here, we reported a 22-year-old female patient with left lower abdominal pain. Computed tomography (CT) showed that a hemorrhagic complex solid cystic mass located in the lesser omentum sac. Diagnosis: According to pathological findings of tumor specimen, the diagnosis of solid pseudopapillary tumor (SPT) of the pancreas was made. Interventions: Distal pancreatectomy and splenectomy was carried out. Outcomes: The patient recovered to normal status within 10 days after surgery. Conclusion: Besides, we reviewed about 50 cases in literatures to find out the clinical characteristics and differential diagnostic strategies of SPT.