Abstract

LARROSA, Camila; MORATORIO, Ignacio  and  CANAVESI, Adri. Lower gastrointestinal bleeding due to pancreatic cancer: an unusual presentation. Rev. gastroenterol. Perú [online]. 2023, vol.43, n.2, pp.156-160.  Epub July 06, 2023. ISSN 1022-5129.  http://dx.doi.org/10.47892/rgp.2023.432.1430.

Pancreatic cancer is a malignant neoplasm with a poor prognosis. When it manifests clinically with cold jaundice, general repercussion or dyspepsia, it usually corresponds to a locally advanced tumor. Enterorrhagia as a form of presentation of pancreatic cancer is extremely infrequent; it corresponds to a severe form with an ominous prognosis. We present the case of a 61-year-old man who attended emergency service for enterorrhagia associated with organic abdominal pain and general repercussions, to whom a diagnosis of pancreatic tail cancer was diagnosed. Colonoscopy revealed mucosal infiltration with intense edema, erythema, necrosis, and spontaneous bleeding at the level of the splenic exure of the colon. Histology conrmed colonic infiltration by pancreatic neoplasm. Computed tomography allowed staging in stage IV. Palliative surgical treatment was performed, with a survival of 3 months.

Keywords : Gastrointestinal Hemorrhage; Pancreatic Neoplasms; Abdominal Pain; Colonoscopy.

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