Gastroenterol Res

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. 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. 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
Item	Value	Unit
WBC	11.2	10³/µL
Neutrophil	85.8	%
Lymphocyte	11.1	%
RBC	484	10⁴/µL
Hb	13.4	g/dL
Plt	23.5	10⁴/µL
Protein	8.0	g/dL
Albumin	4.8	g/dL
UN	12	mg/dL
Cr	0.6	mg/dL
Na⁺	141	mmol/L
K⁺	4.4	mmol/L
Cl⁻	104	mmol/L
Ca²⁺	9.6	mg/dL
Total bilirubin	0.3	mg/dL
AST	17	IU/L
ALT	17	IU/L
ALP	411	IU/L
γ-GTP	14	IU/L
CK	315	IU/L
Amylase	287	U/L
Glucose	130	mg/dL
CRP	0.0	mg/dL
PT	11.1	sec
APTT	24.9	sec
Fibrinogen	292	mg/dL
D-dimer	< 0.5	mg/mL
CAE	0.8	ng/mL
CA19-9	11	U/mL
AFP	1.7	ng/mL
NSE	22	ng/mL