Aggressive pediatric solid pseudopapillary neoplasms of the pancreas presented as acute abdomen: A case report and review of literature

Figure 3 Intraoperative imaging and postoperative gross specimens. A: Upon opening the greater omentum, the relative positions of the pancreas (denoted by a small oval) and the tumor (denoted by a blue arrow) are clearly visible; B: The distal pancreas and tail are transected using a stapler (denoted by a small oval); C: The surgical field following a distal pancreatectomy combined with splenectomy is depicted, highlighting the pancreatic stump (denoted by a small oval), the common hepatic artery (denoted by a yellow arrow), the left gastric vein (denoted by a blue arrow), the splenic vein stump (denoted by a white arrow), and the left kidney (denoted by a black arrow); D: The postoperative gross specimen reveals the tumor (denoted by a blue arrow) and the spleen (denoted by a white arrow).