Solid pseudopapillary tumor of pancreas “Frantz tumor”. Case report and Review

Resumen

The solid pseudopapillary pancreatic tumor, also called “Frantz tumor”, was first described in 1959 by Dr. Frantz Gruber. Part of the classification of cystic neoplasms of the pancreas, it is a condition presented predominantly in young women, with a frequency of 90% of cases.
A 24-year-old female patient complained of abdominal pain for 3 days, accompanied by nausea, vomiting, and abdominal distention. A double-contrast and a PET scan were performed that identified a lesion with a solid aspect in the pancreatic tail and in the liver segments VIII and V.
A subtotal pancreatectomy with splenectomy and biopsy of liver lesions was performed, reporting positive for malignancy. It was decided to perform a right portal vein ligation. On the eighth postoperative day, right-sided two-stage hepatectomy was completed. On the first postoperative day of the second surgery, she presented clinical signs compatible with bleeding, confirmed with tomography as a hematoma in the surgical bed. Exploratory laparotomy was performed with hematoma drainage. She went to an Intensive Care Unit, where she evolved without complications. Postoperative bleeding in patients with hepatectomy varies from 4.2% to 10%, and there are several reasons for its occurrence. In our case, the diagnosis and control of bleeding on the surface of the resection were accurately performed. Postoperative bleeding is one of the most frequent operative complications of hepatectomy, so it is necessary to bring it under control.