Hemorragia digestiva alta en paciente con cistoadenoma mucinoso de páncreas

Abstract

PurposeDescribe a rare and severe clinical presentation of a disease difficult initial diagnosis. Materials and methodsFor a woman of 45, who entered the service for multiple episodes of melena and hematemesis, hypovolemic shock that causes, whose diagnosis is found in an emergency exploratory laparotomy is presented. ResultsSubtotal pancreatectomy body and tail is made. Without biopsy findings malignant mucinous cystic tumor mucinous cystadenoma type of pancreas, lymph nodes malign tumor. DiscussionMucinous cystadenoma pancreas constitutes 10% of pancreatic cysts, the vast majority are asymptomatic or present with abdominal pain. The diagnosis is made primarily by imaging techniques, computed tomography or ultrasound diagnosis. Upper gastrointestinal bleeding is a rare clinical presentation, diagnosis low suspect may debut with important hemodynamic compromise. The cause of bleeding is attributed to this tumor communicated by the pancreatic duct into the duodenum. ConclusionThe treatment of choice is surgical resection. The surgical technique used is determined by the location of the tumor and its nature.