Een appendectomie gevolgd door een pancreaticoduodenectomie: Solide pseudopapillair neoplasma van het pancreas

Background: Increasing usage and improved quality of imaging has increased the probability of incidentalomas which raises the question of how to deal with them. The following case illustrates the incidental finding of a tumour on a CTscan. Case description: A 23yearold woman presented at our emergency department with acute abdominal pain. During the workup we found that in addition to an acute appendicitis, she had a tumour in the pancreas. Cytology initially indicated pancreatic carcinoma, however, further analysis showed a solid pseudopapillary neoplasm of the pancreas. The patient underwent a pyloruspreserving pancreaticoduodenectomy Conclusion: A solid pseudopapillary neoplasm is a relatively rare disorder of the pancreas which is mostly seen in young females. It is a benign disorder carrying a small risk of malignant transformation. A pyloruspreserving pancreaticoduodenectomy is the treatment of choice for this benign tumour of the head of pancreas.