Journal of the Pancreas Open Access

  • ISSN: 1590-8577
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Abstract

Pancreatic Desmoplastic Small Round Cell Tumour - A Rare Presentation of Painful Obstructive Jaundice

Duminda Subasinghe, Chathuranga Tisara Keppetiyagama, Hemantha Sudasinghe, Niranthi Perera, Thurairajah Skandarajah, Sivasuriya Sivaganesh

Context Pancreatic desmoplastic small round cell tumour (DSRCT) is an extremely rare malignancy of which very few reports exist. It follows an aggressive course and has a dismal prognosis. Case Report A twenty four - year - old male presented with a one month history of rapidly progressive obstructive jaundice associated with abdominal pain suggestive of a biliary colic. Method Contrast-enhanced CT (CECT) of the abdomen revealed a pancreatic head mass. He underwent a pancreatico-duodenectomy and adjuvant chemotherapy and is disease free one year after surgery. Conclusion This is the first reported case of a pancreatic head DSRCT, discovered in a young male investigated for a short history of painful obstructive jaundice.