Solid pseudo papillary neoplasms are rare, potentially malignant tumors of the pancreas which commonly present with abdominal pain or incidentally picked on imaging. Acute presentation of these tumors is quite rare. Here we report a case of SPN in a 13 yr old girl who presented with feautures of acute abdomen with hypotension. She had sudden onset of abdominal pain associated with giddiness, evaluation revealed hemoperitoneum and she received 2 units of red blood cell transfusion. Contrast computed tomography of the abdomen was suggestive of a solid lesion in the lesser sac close to the spleen. She was operated and a distal pancreatectomy plus splenectomy was done. Final histopatholgy was suggestive of solid pseudopapillary tumor with rupture.
Muralidhar Nambada, Janardhan K, NRK Rao, Santa Rao Gunta