Spontaneous ruptured solid pseudopapillary tumor of pancreas: a rare condition identified in a patient presenting with features of shock.

INTRODUCTION: Solid pseudopapillary tumor of pancreas are rare benign tumors of pancreas, that typically affects the young women. They are usually asymptomatic or minimally symptomatic, and are usually diagnosed by different imaging modalities.

CASE PRESENTATION: We herein present a case of solid pseudopapillary tumor of pancreas in an 18-year-old female patient who presented to our emergency department with features of shock following its spontaneous rupture. Imaging showed features suggestive of solid pseudopapillary tumor of pancreas, and she was managed by exploratory laparotomy following initial resuscitation.

DISCUSSION: Solid pseudopapillary tumors of pancreas are one of the rare exocrine pancreatic tumors. Their origin is not exactly clear, the most accepted theory states that these tumors originate from the multipotent primordial cells. Preoperative diagnosis can be made showing features distinct from other pancreatic solid/cystic neoplasms. Surgical management is the preferred treatment modality in these tumors.

CONCLUSION: These are rare entities of pancreas, and may present with vague abdominal symptoms. Sometimes, these tumors may undergo spontaneous rupture, presenting with features of shock.