Journal of Clinical Cases

Rupture Of A Giant Solid Pseudopapillary Neoplasm Of The Pancreas During Intraoperative Caesarean Delivery: A Case Report And Literature Review

Ruiqing Xu and Hongwen Fa

Department
Tianiin NanKai Hospital, Tianiin Hospital of Integrated Chinese and Western Medicine, No.6 Changjiang Road, Nankai District, Tianjin, 300100, China

Corresponding Author: Ruiqing Xu

Abstract

Nonspecific presentations during pregnancy can mask early signs and symptoms of upper abdominal tumours, making preoperative diagnosis of upper abdominal tumours difficult. Solid pseudopapillary neoplasm of the pancreas (SPN) is a rare exocrine tumour of the pancreas, and SPN in combination with preeclampsia during pregnancy is even rarer. In this paper, we report a case of SPN combined with preeclampsia during pregnancy and sudden rupture of a giant retroperitoneal SPN during caesarean section, resulting in life-threatening intra-abdominal haemorrhage in the patient. After exclusion of obstetric factors, a rapid response team was activated, a multidisciplinary treatment (MDT) was carried out, and the patient was treated promptly and appropriately by resection of the giant retroperitoneal tumour, partial resection of the body and tail of the pancreas, and abdominal drainage. To our knowledge, this is the first reported case of SPN combined with preeclampsia during pregnancy, and a rapid and timely MDT could have ensured the patient’s life.