# SPNing our wheels—Pancreatic solid pseudopapillary neoplasm as an extraluminal etiology of persistent duodenal ulceration

## TL;DR

A rare pancreatic tumor was found to cause persistent duodenal ulcers in a child, highlighting the need to consider extraluminal causes in such cases.

## Contribution

This case report identifies a pancreatic solid pseudopapillary neoplasm as a rare extrinsic cause of duodenal ulceration in a pediatric patient.

## Key findings

- A pancreatic head solid pseudopapillary neoplasm presented with duodenal ulceration and recurrent upper GI bleeding.
- Extraluminal etiologies should be considered when duodenal ulcers recur or progress without other known causes.

## Abstract

Pediatric upper gastrointestinal (GI) bleeding secondary to duodenal ulceration is a potentially serious and life‐threatening condition with a broad differential diagnosis. We present a pediatric case of a pancreatic head solid pseudopapillary neoplasm (SPN) presenting with duodenal ulceration and recurrent upper GI bleeding. This case highlights pancreatic SPNs as a rare extrinsic cause of duodenal ulceration. Recurrence and progression in size and extent of a duodenal ulceration in the absence of other inciting factors should raise suspicion for an extraluminal etiology.