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KMID : 0882420110800050583
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Korean Journal of Medicine
2011 Volume.80 No. 5 p.583 ~ p.587
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A Solid Pseudopapillary Tumor Presenting as Hematemesis
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Chon Ung
Kim Joon-Mee
Bang Byoung-Wook
Lee Don-Haeng
Han Jee-Young
Shin Yong-Woon
Kim Young-Soo
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Abstract
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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.
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KEYWORD
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Neoplasm, Pancreas, Hematemesis
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