Solid pseudopapillary neoplasm of pancreas presenting after bicycle handlebar injury: diagnostic pitfalls in a young female-A case report.

Solid pseudopapillary neoplasm (SPN) of pancreas is a rare neoplasm with very low malignant potential. It mainly affects females in third decade of life and has favourable prognosis.

Methods: We report a case where a 17-years old girl presented with history of blunt abdominal trauma with handlebar of bicycle 6 months back, following which she developed abdominal pain and fullness in epigastrium. Keeping pancreatic pseudocyst as provisional diagnosis, she was investigated. The final diagnosis of SPN of pancreas came as a surprise. The mass, about 6x5cm, was excised and Roux-en-Y distal pancreatico-jejunostomy was done. Patient showed no recurrence or metastasis till one year of follow-up. This is the first case report of SPN presenting after handlebar injury.

Conclusions: Timely and adequate resection provides good long-term survival.