Hemorragia digestiva alta en paciente con cistoadenoma mucinoso de páncreas.

Purpose: Describe a rare and severe clinical presentation of a disease difficult initial diagnosis. Materials and methods: For 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. Results: Subtotal pancreatectomy body and tail is made. Without biopsy findings malignant mucinous cystic tumor mucinous cystadenoma type of pancreas, lymph nodes malign tumor. Discussion: Mucinous 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. Conclusion: The treatment of choice is surgical resection. The surgical technique used is determined by the location of the tumor and its nature. [ABSTRACT FROM AUTHOR]