Pseudo Papillary and Solid Pancreatic Tumor (PPSPT): A Diagnosis Not to Miss in Child

Abstract

Pseudo papillary and solid pancreatic tumor (PPSPT) is a rare tumor that occurs almost exclusively in adolescents and young women. Radiological ex-ploration is mainly based on ultrasound and CT, which can often guide the diagnosis. We report the case of a 12-year-old girl, who was referred for suspicion of a hydatid cyst of the liver. Abdominal ultrasound showed a large solid-cystic mass, in contact with the hepatic hilum. Abdominal CT allowed a better study of the localization and the anatomical relationships of the mass. It was pancreatic head tumor encasing the portal vein and compressing the common biliary duct. The CT features suggest more a PPSPT or a pancreat-oblastoma. The pathological study after surgery confirmed the diagnosis of PPSPT.