Gastroenterology Research, ISSN 1918-2805 print, 1918-2813 online, Open Access
Article copyright, the authors; Journal compilation copyright, Gastroenterol Res and Elmer Press Inc
Journal website http://www.gastrores.org

Case Report

Volume 6, Number 2, April 2013, pages 67-70


A Pancreatic Solid Pseudo-Papillary Tumor Detected After Abdominal Injury

Figures

Figure 1.
Figure 1. CT images at 4 h after abdominal injury. (a) Plain CT reveals a cystic mass measuring 55 mm in the pancreatic body and tail. (b) Contrast-enhanced CT indicates a heterogeneous internal density and smooth rim enhancement of the mass.
Figure 2.
Figure 2. MRI reveals a mass approximate 50 mm in size in the pancreas. (a) T2-weighted MRI reveals a mass, measuring 50 mm approximately, in the pancreatic tail with associated heterogeneous high intensity that indicates the presence of an encapsulated solid and cystic mass with areas of hemorrhagic degeneration. (b) Dynamic contrast-enhanced MRI demonstrates contrast enhancement in the early arterial phase; the contrast enhancement gradually increases in the late phases.

Table

Table 1. Laboratory Data on Admission and Tumor Markers
 
ItemValueUnit
WBC11.2103/µL
Neutrophil85.8%
Lymphocyte11.1%
RBC484104/µL
Hb13.4g/dL
Plt23.5104/µL
Protein8.0g/dL
Albumin4.8g/dL
UN12mg/dL
Cr0.6mg/dL
Na+141mmol/L
K+4.4mmol/L
Cl104mmol/L
Ca2+9.6mg/dL
Total bilirubin0.3mg/dL
AST17IU/L
ALT17IU/L
ALP411IU/L
γ-GTP14IU/L
CK315IU/L
Amylase287U/L
Glucose130mg/dL
CRP0.0mg/dL
PT11.1sec
APTT24.9sec
Fibrinogen292mg/dL
D-dimer< 0.5mg/mL
CAE0.8ng/mL
CA19-911U/mL
AFP1.7ng/mL
NSE22ng/mL