Pancreatic pseudopapillary tumor in a male child.
BACKGROUND
Solid-pseudopapillary tumors are exceedingly rare in males. They are almost exclusively encountered in young females (mean age 26 years) and have a female predominance. It is most commonly detected incidentally, but may occasionally present with sudden pain or symptoms related to compression of adjacent organs.


METHODS
We report the case of a 12-year-old boy having a solid-pseudopapillary tumor of the pancreas presenting with a tender upper abdominal mass following a slight trauma. Radiological investigation showed the lesion to be a cystic mass arising from the body and the tail of the pancreas. The child underwent emergency distal pancreatectomy and has remained free of recurrence for 3 years.


CONCLUSIONS
In the pediatric age group, solid-pseudopapillary tumors may present acutely with a tender abdominal mass following a slight trauma. Awareness of this fact will allow appropriate and prompt management to be undertaken.
Meshikhes
Abdul-Wahed N
AW
Department of Surgery, Dammam Central Hospital, Eastern Province, Dammam, Saudi Arabia. meshikhes@doctor.com
Atassi
Ramez
R
D002648:Child; D003536:Cystadenocarcinoma / Q000175:diagnosis; D003537:Cystadenoma / Q000175:diagnosis; D003951:Diagnostic Errors; D004630:Emergencies; D006465:Hemoperitoneum / Q000209:etiology; D006801:Humans; D007813:Laparotomy; D008297:Male; D010180:Pancreatectomy; D010190:Pancreatic Neoplasms / Q000150:complications / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D010192:Pancreatic Pseudocyst / Q000175:diagnosis; D013156:Splenectomy; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography