Neuroendocrine tumor of the pancreas causing biliary obstruction in a 12 year-old girl: A case report and literature review

Authors

Kimberly A. Bertens, Western University
Michael Livingston, Western University
Douglas Quan, Western University
Ken Leslie, Western University
Alexandra Zorzi, Western University
Andreana Bütter, Western UniversityFollow

Document Type

Article

Publication Date

1-1-2014

Journal

Journal of Pediatric Surgery Case Reports

Volume

2

Issue

9

First Page

413

Last Page

416

URL with Digital Object Identifier

10.1016/j.epsc.2014.08.008

Abstract

Pancreatic tumors are uncommon in children and rarely result in biliary obstruction. A previously well 12-year old female presented with a one-week history of fatigue, pruritis, and painless jaundice. Abdominal ultrasound demonstrated a mass in the pancreatic head associated with dilation of the common bile duct. Further workup included abdominal MRI, CT and endoscopic retrograde pancreaticogram (ERCP) with biliary stenting. Octreotide scan did not reveal uptake in the pancreatic tumor. Percutaneous biopsies were consistent with a grade 2 pancreatic neuroendocrine tumor (NET). Preoperative imaging demonstrated involvement of the portal vein. The patient was brought the operating room for a pancreaticoduodenectomy and portal vein resection. Final pathology revealed a T3N1M0 pancreatic NET. The patient recovered uneventfully.