Hepatitis aguda colestásica inducida por amoxicilina-clavulánico / Acute cholestatic hepatitis induced by amoxicillin-clavulanic acid

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[An atypical case of massive gastrointestinal hemorrhage]. / Caso atípico de hemorragia digestiva masiva.

Gastrointestinal stromal tumors (GIST) are an infrequent cause (<1%) of severe gastrointestinal hemorrhage. Treatment is mainly surgical through complete tumoral resection. We report the case of a 29-year-old woman who presented to the emergency room with severe gastrointestinal bleeding manifested by melena. On physical examination the patient had a painless, palpable mass in the left abdomen. Esophagogastroduodenoscopy, computed tomography, angiography and urgent surgical intervention led to diagnosis of a jejunal GIST.

Caso atípico de hemorragia digestiva masiva / An atypical case of massive gastrointestinal hemorrhage

Los tumores estromales gastrointestinales (GIST) son una causa poco frecuente (< 1%) de hemorragia digestiva masiva. El tratamiento es fundamentalmente quirúrgico mediante la extirpación completa del tumor. Exponemos el caso de una mujer de 29 años de edad que acudió a urgencias al presentar un cuadro clínico compatible con hemorragia digestiva grave en forma de melenas. A la exploración física se apreció una masa abdominal indolora y no pulsátil. Tras realizar una endoscopia digestiva alta, una tomografía computarizada, una arteriografía y una intervención quirúrgica urgente, se llega al diagnóstico de GIST yeyunal

Gastrointestinal stromal tumors (GIST) are an infrequent cause (<1%) of severe gastrointestinal hemorrhage. Treatment is mainly surgical through complete tumoral resection. We report the case of a 29-year-old woman who presented to the emergency room with severe gastrointestinal bleeding manifested by melena. On physical examination the patient had a painless, palpable mass in the left abdomen. Esophagogastroduodenoscopy, computed tomography, angiography and urgent surgical intervention led to diagnosis of a jejunal GIST