title: Pancreatic desmoplastic small round cell tumour--a rare presentation of painful obstructive jaundice.
abstract: BACKGROUND
  Pancreatic desmoplastic small round cell tumour (DSRCT) is an extremely rare malignancy of which very few reports exist. It follows an aggressive course and has a dismal prognosis.
  
  
  METHODS
  A twenty-four-year-old male presented with a one-month history of rapidly progressive obstructive jaundice associated with abdominal pain suggestive of a biliary colic. Contrast-enhanced CT (CECT) of the abdomen revealed a pancreatic head mass. He underwent a pancreaticoduodenectomy and adjuvant chemotherapy and is disease free one year after surgery.
  
  
  CONCLUSIONS
  This is the first reported case of a pancreatic head DSRCT, discovered in a young male investigated for a short history of painful obstructive jaundice.
authors.affiliation: University Surgical Unit, National Hospital of Sri Lanka. Colombo, Sri Lanka. siva.sivaganesh@cantab.net.
authors.forename: Duminda
authors.initials: D
authors.lastname: Subasinghe
authors.forename: Chathuranga Tisara
authors.initials: CT
authors.lastname: Keppetiyagama
authors.forename: Hemantha
authors.initials: H
authors.lastname: Sudasinghe
authors.forename: Niranthi
authors.initials: N
authors.lastname: Perera
authors.forename: Thurairajah
authors.initials: T
authors.lastname: Skandarajah
authors.forename: Sivasuriya
authors.initials: S
authors.lastname: Sivaganesh