Rupture of a Solid Pseudopapillary Neoplasm of the pancreas

An acute presentation of a spontaneously ruptured Solid-Pseudopapillary Neoplasm (SPN) in an 8 year old female is discussed with a review of the world literature. Our literature search revealed 15 other cases of ruptured SPN and with this case the total is now 16. Notably, 12 patients were 16 years of age or less at presentation as in our case. Although rupture of a SPN is rarely reported it appears to be more probable in the pediatric patient. Additionally, larger tumor size and trauma may be contributing factors.