title: [Upper digestive hemorrhage caused by ulcerated periampullary leiomyoma].
abstract: Duodenal leiomyoma represents a very unusual cause for acute gastrointestinal bleeding. The authors report the case of a 49-year-old male with a massive bleeding from an ulcerated duodenal leiomyoma involving the ampulla of Vater. An emergency Whipple's pancreaticoduodenectomy was carried out under suspicion of local malignancy. It is emphasized that the proper diagnosis of smooth muscle tumors is often difficult, both clinically and from the pathological point of view.
authors.affiliation: Servicio de Cirugía General, Hospital del INSALUD, Nuestra Señora del Cristal, Orense.
authors.forename: J M
authors.initials: JM
authors.lastname: Octavio de Toledo
authors.forename: F
authors.initials: F
authors.lastname: Gómez Lorenzo
authors.forename: M P
authors.initials: MP
authors.lastname: Santiago
authors.forename: B
authors.initials: B
authors.lastname: Figueruela
authors.forename: J A
authors.initials: JA
authors.lastname: Sierra
authors.forename: J
authors.initials: J
authors.lastname: Domínguez
mesh_terms: D014670:Ampulla of Vater; D003138:Common Bile Duct Neoplasms / Q000150:complications* / Q000473:pathology; D004378:Duodenal Diseases / Q000209:etiology*; D004381:Duodenal Ulcer / Q000209:etiology; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D007889:Leiomyoma / Q000150:complications* / Q000473:pathology; D008297:Male; D008875:Middle Aged
vernacular_title: Hemorragia digestiva alta por un leiomioma periampular ulcerado.