A 14-year-old girl was admitted to the Emergency department for abdominal pain. An abdominal mass of 7-8 cm was detected and surgically resected. At anatomopathology a solid pseudopapillary neoplasm of the pancreas was observed. This tumour is rare and is included in the pancreatic cystic neoplasms. It frequently concerns 20-30-year-old girls. In all cases, the treatment consists of surgical resection, even in the rare cases with metastases. Prognosis is usually good, but careful follow-up is mandatory.