Traumatic presentation of a solid pancreatic pseudopapillary neoplasm in a 7 year old girl

Solid pseudopapillary neoplasms of the pancreas are rare tumors that present in adolescence after having grown to a large size. We present the case of a young girl who had emesis and abdominal pain after hitting her abdomen on the side of her bathtub. She underwent workup and successful surgical resection in the same admission. In reviewing the literature, these tumors often present with a palpable mass or abdominal pain. They are diagnosed with various imaging modalities and have an excellent prognosis with complete surgical resection. Chemotherapy is reserved for unresectable or metastatic disease. The young age and traumatic presentation make this a notable case. 2015 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/) Solid pseudopapillary neoplasm (SPPN) of the pancreas is a rare type of primary pancreatic tumor that typically affects females in adolescence or early adulthood. It presents most commonly with abdominal pain or a palpable mass [1]. We describe the case of a 7 year old girl that presented to the emergency room after a fall which resulted in vomiting and epigastric pain. After clinical and radiographic evaluation, a solid and cystic pancreatic mass was discovered. She was successfully treated with surgical resection.