Solid pseudopapillary tumour of the pancreas in pregnancy – a case report and literature review

Abstract

Solid pseudopapillary pancreatic tumours (SPTs) are tumours with a low malignant potential though they may metastasise. They are rare in pregnancy and their accelerated growth during pregnancy could be life-threatening. The challenge remains as to how best to treat pregnant patients diagnosed with or suspected of having these tumours. We report a case of a 28-year-old pregnant female patient at 20 weeks’ gestation who presented with mild abdominal pain and an abdominal mass. Physical examination showed an asymmetrical abdomen with associated mild tenderness. Radiological imaging showed a right-sided retroperitoneal tumour. Surgical management was deferred until the pregnancy was at full term. At term, once a live baby had been delivered, excision of the mass was performed. Histopathological assessment showed a solid pseudopapillary tumour of the pancreas. A multidisciplinary approach to a pregnant patient diagnosed with SPT is necessary to ensure the best outcome for both mother and child.