# Hidden Threat: Incidental Finding of Pancreatic Body Solid Pseudopapillary Tumor During Bariatric Evaluation With an Open Central Pancreatectomy Resolution

## TL;DR

A rare pancreatic tumor was discovered accidentally during a bariatric evaluation and successfully treated with a specialized surgical approach.

## Contribution

This case highlights the unique management of a solid pseudopapillary tumor found incidentally and treated with open central pancreatectomy.

## Key findings

- The tumor was identified as a solid pseudopapillary tumor, which is rare and requires specific surgical techniques.
- The patient's overall health was evaluated to determine the feasibility of surgery and the need for prior interventions.
- The case emphasizes the importance of histopathological analysis for accurate diagnosis and treatment planning.

## Abstract

Incidentalomas, or tumors found incidentally, are very common. However, pancreatic tumors are usually not found as incidentalomas. To date, these tumors represent a diagnostic and therapeutic challenge, since the risks and benefits associated with surgeries that can be performed to remove these tumors must be evaluated due to perioperative complications. It is vitally important to always carry out a correct approach that includes a histopathological study to allow timely identification of tumors that require surgical management or other preoperative treatment, such as chemotherapy or radiotherapy. The majority of these tumors are benign cystic tumors; however, there are cases, like the one presented here, where the tumor turns out to be a solid pseudopapillary tumor (SPT) that requires a different diagnostic and surgical approach. Also, in this case, the importance of evaluating the patient's general health status is highlighted to determine whether or not the required surgery can be performed at that moment or if any prior intervention is required. This case report talks about a patient in whom an incidental pancreatic tumor was found and how its management was carried out from diagnosis to the postoperative period.