title: A rare case report of Solid Pseudopapillary Tumor of the pancreas with portal hypertension.
abstract: BACKGROUND
  Solid Pseudopapillary Tumor of the pancreas (SPT) is a rare pancreatic tumor and represents 1-3% of all pancreatic tumors. It usually presents in young females with abdominal pain, nausea, vomiting and abdominal fullness. The first case report was documented in 1959 and since then multiple case reports have been documented on the various surgical approaches for SPT. However, there are not many reported cases where surgery has been performed on SPT with portal hypertension.
  
  
  METHODS
  In our case report, a 19 year old girl presented with a mass in the left side of the abdomen with associated dragging pain. Ultrasound Abdomen and CT (computed tomography) confirmed an SPT with portal hypertension, with the lesion involving the body and tail of pancreas.
  
  
  CONCLUSIONS
  Although few reports are available on SPT with portal hypertension, ours is the first report on a benign SPT with sinistral portal hypertension treated with a distal pancreatectomy. The presence of portal hypertension made the excision of the tumor and delineation of the vessels very difficult. However, when great care is taken while handling the dilated vessels, dissection can be completed with minimal blood loss.
  
  
  CONCLUSIONS
  Meticulous surgical technique along with accurate identification of vasculature will aid in the resection. Although some SPTs behave aggressively, most of them are benign and patients with SPT have an excellent prognosis.
authors.affiliation: Sri Ramachandra University, No. 1 Ramachandra Nagar, Porur, Chennai, Tamil Nadu 600116, India. Electronic address: asha_red@hotmail.com.
authors.forename: Asha
authors.initials: A
authors.lastname: Reddy
authors.affiliation: Sri Ramachandra University, No. 1 Ramachandra Nagar, Porur, Chennai, Tamil Nadu 600116, India. Electronic address: saravan_s_2000@yahoo.com.
authors.forename: Saravanan
authors.initials: S
authors.lastname: Sanniyasi
authors.affiliation: Sri Ramachandra University, No. 1 Ramachandra Nagar, Porur, Chennai, Tamil Nadu 600116, India. Electronic address: dilipjosephgeorge@gmail.com.
authors.forename: Dilip Joseph
authors.initials: DJ
authors.lastname: George
authors.affiliation: Sri Ramachandra University, No. 1 Ramachandra Nagar, Porur, Chennai, Tamil Nadu 600116, India. Electronic address: cdnarayan24@yahoo.com.
authors.forename: Cunnigaiper Dhanasekaran
authors.initials: CD
authors.lastname: Narayanan
keywords: Case report; Hypertension; Pancreas; Portal; SPT