title: [Pancreatoduodenectomy in digestive tract hemorrhage. A case report].
abstract: OBJECTIVE
  To describe the clinical presentation and treatment of one patient with a neuroendocrine pancreatic neoplasm and gastrointestinal hemorrhage.
  
  
  BACKGROUND
  Neuroendocrine pancreatic tumors are relatively rare neoplasms. When the tumor does not have endocrine function, clinical manifestations are non-specific and show symptoms when the tumor is quite large. Massive upper gastrointestinal hemorrhage is an infrequent clinical manifestation of these tumors.
  
  
  METHODS
  A case of gastrointestinal hemorrhage, which required a pancreaticoduodenectomy to control bleeding of an ulcerated pancreatic head neoplasm, is presented.
  
  
  CONCLUSIONS
  Pancreaticoduodenectomy is the procedure of choice to control duodenal massive bleeding secondary to an ulcerated neuroendocrine tumor of the pancreas.
authors.affiliation: Servicio de Gastrocirugía, Hospital de Especialidades, CMN siglo XXI, IMSS. delafuentel@hotmail.com
authors.forename: M
authors.initials: M
authors.lastname: De la Fuente-Lira
authors.forename: F
authors.initials: F
authors.lastname: Cassab
authors.forename: M L
authors.initials: ML
authors.lastname: Márquez-Rocha
mesh_terms: D000328:Adult; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000473:pathology / Q000601:surgery*; D006801:Humans; D016577:Pancreaticoduodenectomy
vernacular_title: Pancreatoduodenectomía en hemorragia de tubo digestivo. Reporte de un caso.