Spontaneous rupture of solid pseudopapillary neoplasm of the pancreas during pregnancy.
BACKGROUND
Spontaneous rupture of solid pseudopapillary neoplasm of the pancreas is an unusual complication during pregnancy.


METHODS
At 19 weeks of gestation, a 29-year-old woman presented with a pancreatic mass and upper abdominal pain radiating to the back. On the third day of admission, shock and peritoneal signs developed. Exploratory laparotomy and subsequent subtotal pancreatectomy were performed for a bleeding tumor. Solid pseudopapillary neoplasm was confirmed by pathological examination. The patient delivered a healthy full-term girl vaginally. Eight months postoperatively, the clinical courses of both mother and infant have been uneventful.


CONCLUSIONS
Ruptured solid pseudopapillary neoplasms can cause an acute abdomen during pregnancy. The expression of progesterone receptors in solid pseudopapillary neoplasm is a possible cause of this potentially devastating event.
Department of Pathology, Chang Gung Memorial Hospital, Chang Gung University School of Medicine, Taoyuan, Taiwan.
Shih-Chiang
SC
Huang
Tsung-Han
TH
Wu
Chien-Cheng
CC
Chen
Tse-Ching
TC
Chen
D000006:Abdomen, Acute / Q000209:etiology; D000328:Adult; D005260:Female; D006801:Humans; D010190:Pancreatic Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis / Q000601:surgery*; D012422:Rupture, Spontaneous / Q000150:complications / Q000175:diagnosis / Q000601:surgery