[Upper gastrointestinal bleeding in an 81-year-old woman].
Upper gastrointestinal bleeding is a frequent syndrome in the elderly that requires urgent attention. The main causes of melenas are peptic ulcer (gastric or duodenal) and esophageal diseases (esophagitis, esophageal varices and Mallory-Weiss syndrome). Unusually, upper gastrointestinal bleeding may be due to a duodenal tumor. Gastrointestinal stromal tumors (GIST) are included in this group. We report the case of an 81-year-old woman who presented with melenas. Gastrointestinal endoscopic studies (upper and lower) revealed no abnormalities, and a duodenal mass was found on thoracic-abdominal computed tomography scan. Urgent surgery due to a massive bleeding episode led to diagnosis of a duodenal GIST.
Palacios
Gregorio
G
Departamento de Especialidades Médicas Aplicadas, Universidad Europea de Madrid, Madrid, España.
Herreros
Benjamín
B
Pintor
Emilio
E
Ruiz
Iñigo
I
López
Daniel
D
D000369:Aged, 80 and over; D004379:Duodenal Neoplasms / Q000150:complications / Q000175:diagnosis*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D046152:Gastrointestinal Stromal Tumors / Q000150:complications / Q000175:diagnosis*; D006801:Humans