We present a case of a papillary solid neoplasm of the head of the pancreas
incidentally diagnosed after an abdominal trauma in a thirteen year old bo
y. Imaging features (US, CT) of the lesion were not specific enough to perm
it a precise diagnosis with certainty. Preoperative percutaneous needle bio
psy can give presumptive evidence which may guide the treatment. Prognosis
is fairly better than other pancreatic neoplasms in children (particularly
pancreatoblastoma). Treatment relies only on surgery.