Abstract
Background: Xanthogranulomatous (yellow granulomatous) pancreatitis is a very rare and chronically destructive inflammatory process. Solid pseudo papillary pancreatic tumors are rare pancreatic tumors. Objective: At the Department of Abdominal Radiology, King Faisal Specialist Hospital and Research Center in Riyadh, Saudi Arabia, we believe it is the first case of Xanthogranulomatous pancreatitis associated with an existing solid pseudo papillary epithelial tumor (SPEN). Case report: A 30-year-old man, medically free, with a history of gastric sleeve resection, presenting with fever, recurrent severe epigastric pain, nausea and vomiting after distal pancreatic resection and spleen resection, pancreas. Histopathological analysis of histology showed solid pseudo granulomatous pancreatitis, as well as severe yellow granulomatous pancreatitis. Conclusions: Our case is unique in that Xanthogranulomatous pancreatitis was found in an existing male patient with SPEN.