PMC4823474_01
CECT Abdomen showing a heterogeneous mass lesion replacing the neck, body and tail of pancreas.
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CECT (Contrast enhanced Computed Tomography) (Fig. 1) abdomen revealed a huge heterogeneous mass lesion replacing the body and tail of pancreas with extension mass effect indicative of a Solid Pseudopapillary Tumor of the pancreas with left sided portal hypertension.
Picture illustrating the plane of dissection with umbilical tape hooked around the neck of pancreas.
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Patient underwent an exploratory laparotomy and a 16 x 10 cm lesion involving the body and tail of pancreas (Fig. 2) was noted along with dilated and tortuous gastric and splenic vasculature (Fig. 3).
Specimen of the pancreatic tumor with the spleen.
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Excision of the tumor was done which required a distal pancreatectomy and this was combined with a splenectomy (Fig. 4).