Presented to the emergency department with constant abdominal pain that began abruptly the previous night and wandered from the central abdomen to the right lower quadrant.

In the emergency department:
Subfebrile fever; diffuse abdominal tenderness, more pronounced in the right upper and lower quadrants; slight leukocytosis with neutrophilia; CRP within normal limits.

Abdominal ultrasound was performed, which ruled out acute appendicitis. Large incidental mass probably emanating from the pancreatic tail. CT confirmed this. Given that the patient was a young woman and that the mass was asymptomatic, the putative diagnosis was of a solid pseudopapillary tumor.

The patient underwent distal pancreatectomy (a misnomer) ² and splenectomy. The pathology report confirmed solid pseudopapillary tumor with reactive changes in several regional lymph nodes.