Takamatsu Susumu, Nagano Hiroto, Ohtsukasa Shunroh, Kawachi Yasuyuki, Maruyama Hiroshi
Department of Surgery, Musashino Red Cross Hospital, 1-26-1 Kyounan-cho, Musashino-shi, Tokyo 180-8610, Japan.
Case Rep Med. 2013;2013:953240. doi: 10.1155/2013/953240. Epub 2013 Apr 30.
Solid pseudopapillary tumor (SPT) is an uncommon neoplasm of the pancreas. A rare case of spontaneous rupture of SPT is reported. A 13-year-old female felt acute abdominal pain without blunt abdominal trauma. Enhanced computed tomography (CT) revealed a tumor in the pancreas tail with fluid collection around it. The tumor was diagnosed as SPT with hemoperitoneum associated with spontaneous rupture. The bleeding was stopped conservatively and she was referred for surgery at three months after the rupture. At that time, CT revealed a tumor 4 cm in diameter, which protruded from pancreas tail without distant metastases. Since peritoneal dissemination was not seen on intraoperative exploration, laparoscopic enucleation was performed. Pathologically, the tumor was diagnosed as SPT with rupture of the capsule of tumor, and complete resection was confirmed. The patient has been followed up for two years, and she is alive without recurrence.
实性假乳头状瘤（SPT）是一种罕见的胰腺肿瘤。本文报道了1例SPT自发性破裂的罕见病例。一名13岁女性在无腹部钝性外伤的情况下突发急性腹痛。增强计算机断层扫描（CT）显示胰尾部有一肿瘤，其周围有液体积聚。该肿瘤被诊断为伴有自发性破裂及腹腔积血的SPT。出血经保守治疗后停止，患者在破裂后3个月接受手术治疗。当时，CT显示一个直径4厘米的肿瘤，从胰尾部突出，无远处转移。由于术中探查未见腹膜播散，遂行腹腔镜肿瘤剜除术。病理检查诊断该肿瘤为伴有肿瘤包膜破裂的SPT，并确认已完全切除。患者已随访两年，目前存活，无复发。
