Given these findings and the clinical suspicion of MEN1, the study was completed with a CT scan of the neck, chest, abdomen, and pelvis, which showed a hypervascular heterogeneous mass with lobulated and well-defined edges of 6.8 x 7.7 x 6.4 cm in the tail of pancreas, plus another mass of similar characteristics of 6 x 4.2 cm in the uncinate process and at least three more pancreatic focal lesions of less than 1 cm on the head and
neck of pancreas (Figure 2).
In our patient, spiral abdominal CT scan revealed a mass at the
neck of pancreas but, according to large dimension of tumor, the surgeon had to do a subtotal pancreatectomy, and more limited procedures were not possible.
Sports injuries occurred in 4 patients: 2 schoolboy goalkeepers each sustained a fracture of the
neck of pancreas when kicked during a soccer game, a university student had a pancreatic duct injury after a rugby tackle, and a schoolboy had a pancreatic injury after a go-cart accident.