Resumo

NAPOLES VALDES, Mirian Belkis et al. High digestive hemorrhages as first clinical manifestation of neoplasia from the duodenal bulb. Case presentation. Gac Méd Espirit [online]. 2015, vol.17, n.3, pp. 167-173. ISSN 1608-8921.

Background: Malignant neoplasias of the small intestine are not very common and the diagnosis is late because they are usually asymptomatic or the symptoms are intermittent and inespecific. Objective: To offer a clinical-endoscopical and radiological teaching of the way of the presentation of the neoplasia of the duodenal bulb that made its debut with high digestive hemorrhage. Case presentation: A 75 years old male patient who was admitted due to a high digestive bleeding in a way of dark vomits, several exams were performed, such as esophagogastroduodenoscopy as well as biopsy taking for histological study whose definite diagnosis was adenocarcinoma of the duodenal bulb. Conclusions: In the diseases that affect the gastrointestinal tract it is necessary to bear in mind as a nosologic diagnosis this type of malignant tumor since an timely treatment can assure a satisfactory evolution and a major survival for the patient.

Palavras-chave : Duodenal neoplasms; diagnosis; gastrointestinal hemorrhagegia; adenocarcinoma of duodenal bulb/nosologic diagnostic/digestive hemorrhages.

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