ArticleCureus2025
Solid Pseudopapillary Neoplasm of the Pancreas Misdiagnosed as Ovarian Torsion in the Second Trimester of Pregnancy.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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5 authors.
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Abstract
Solid pseudopapillary neoplasm (SPN) of the pancreas is a low-grade malignant tumor affecting young women. Presentation during pregnancy is extremely rare and poses unique diagnostic and management challenges. We present a case of a 23-year-old primigravida at 25 weeks of gestation with recurrent epigastric pain and vomiting. Initial imaging suggested an adnexal mass, raising concerns about ovarian torsion. However, further assessment with MRI revealed a large heterogeneous mass anterior to the left kidney and near the pancreas. Diagnostic laparotomy confirmed a 15 cm mesenteric mass that was completely resected. Histopathological and immunohistochemical evaluations confirmed that the SPN originated in the pancreas. The patient recovered uneventfully and gave birth to a healthy, full-term infant. This case highlights the importance of SPN in the differential diagnosis of abdominal masses during pregnancy and illustrates the safety of second-trimester surgical management.
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