Acute post-traumatic presentation of a solid pseudo papillary tumor of pancreas: A case report

To report a case of pancreatic pseudo papillary solid cystic tumor, known as frantztumor, which was discovered after a blunt abdominal trauma and to carry out a review ofliterature.case report: the patient was a 14-years old girl who came to the emergency room after bluntabdominal trauma with an intense abdominal pain. she underwent emergent laparotomybecause of the positive peritoneal signs and circulatory instability. the exploration revealed alarge retroperitoneal mass. therefore, an incisional biopsy was done and the patient wasreferred to our center.ct-scan was performed and revealed a large cystic mass (about 14×10cm) in left side ofupper abdomen, which was located posterior to the stomach. laparatomy revealed a verylarge pancreatic tumor with extension to spleen, stomach and transverse colon. a distalpancreatectomy, sleeve gastrectomy, segmental resection of large bowel and splenectomywas performed. the pathologic report was a pseudo papillary solid and cystic tumor ofpancreas. clinical evaluation has been satisfactory without recurrence after 12 months offollow up.conclusion: frantz tumor has benign behavior and treatment of choice consists of surgicalresection. pseudo papillary tumor may spread outside the pancreas, particularly in peritonealcavity. met static spread may be promoted by trauma, including tumor biopsies which shouldnever be performed. the outcome after surgical resection is excellent with 90% survival in thelong term. recurrence has been described in approximately 10% of the patients.