A Solid Pseudopapillary Tumor Presenting as Hematemesis.
- Author:
Woong CHEON
1
;
Joon Mee KIM
;
Byoung Wook BANG
;
Don Haeng LEE
;
Jee Young HAN
;
Yong Woon SHIN
;
Young Soo KIM
Author Information
1. Department of Internal Medicine, Inha University College of Medicine, Incheon, Korea. LDH@inha.ac.kr
- Publication Type:Case Report
- Keywords:
Neoplasm;
Pancreas;
Hematemesis
- MeSH:
Angiography;
Endoscopy;
Female;
Hematemesis;
Hemorrhage;
Humans;
Laparotomy;
Middle Aged;
Pancreas;
Pancreatic Cyst;
Pancreaticoduodenectomy;
Prognosis;
Ulcer
- From:Korean Journal of Medicine
2011;80(5):583-587
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Solid pseudopapillary tumors are rare primary neoplasms of the pancreas that have a relatively favorable prognosis, with a low malignant potential. Most patients present with non-specific clinical features, such as vague abdominal discomfort and a palpable abdominal mass. A 50-year-old woman who presented with hematemesis had an incidental pancreatic cystic mass on abdominal computed tomography (CT). We performed several tests, including upper endoscopy and angiography, but we could not find the bleeding focus. Therefore, we performed a pancreaticoduodenectomy. At laparotomy, there was a 10-cm encapsulated pancreatic mass with duodenal invasion, which showed a bleeding ulcer. A solid pseudopapillary tumor was diagnosed pathologically. We report a solid pseudopapillary tumor that presented with gastrointestinal bleeding.