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  • Title: [Upper gastrointestinal bleeding in an 81-year-old woman].
    Author: Palacios G, Herreros B, Pintor E, Ruiz I, López D.
    Journal: Gastroenterol Hepatol; 2010 Jan; 33(1):30-2. PubMed ID: 19819044.
    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.
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