title: [Upper gastrointestinal bleeding in an 81-year-old woman].
abstract: 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.
authors.affiliation: Departamento de Especialidades Médicas Aplicadas, Universidad Europea de Madrid, Madrid, España.
authors.forename: Gregorio
authors.initials: G
authors.lastname: Palacios
authors.forename: Benjamín
authors.initials: B
authors.lastname: Herreros
authors.forename: Emilio
authors.initials: E
authors.lastname: Pintor
authors.forename: Iñigo
authors.initials: I
authors.lastname: Ruiz
authors.forename: Daniel
authors.initials: D
authors.lastname: López
mesh_terms: 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