Abdomen Agudo Obstructivo Secundario A Tumor de la cola del Páncreas

Abstract

The following case is a male patient 67 years old, mestizo, catholic religion, born and living in Ambato (Pishilata), painter occupation, incomplete higher education; Family history Pathological father died with pancreatic cancer; Personal history Pathological Parkinson's disease 11 years ago; Pathological history Surgical Prostatectomy 5 years. Go to present about 72 hours ago epigastric pain, cramping of mild to moderate intensity that radiates to the right flank and left shaped belt accompanied with widespread decay, so go to Mobile Hospital where he administered antibiotic therapy not specified, probable diagnosis of acute diarrheal disease without showing clinical improvement, 24 hours before admission, the patient persists with abdominal pain of great intensity accompanied postprandial vomiting on three occasions in moderate amount of food and bilious content as well alteration of intestinal habit prone to constipation, so go back to Mobile Hospital who you refer to Provincial Teaching Hospital Ambato (HPDA). In the emergency service received HPDA patient with TA 100/60 mmHg FC: 108 lpm FR: 35 rpm, 96% O2 Sat, aware, no fever, dry oral mucosa, preserved cardiopulmonary, tense abdomen distended and painful epigastric mesogastrio, with increased bowel sounds, no signs of peritonitis, no limbs edema, tremor in the upper extremities, distal pulses present at the entrance to the surgery department with presumptive diagnosis of obstructive acute abdomen is decided. Having assessed the patient decides to perform a Laparotomy Exploratory meeting free fluid inflammatory abdominal cavity, erythematous bowel loops and dilated from the first jejunal loops to the angle of Treitz and duodenum, is also a tumor in the tail of the pancreas was found irregular edges, well vascularized, enlarged spleen, performing pancreatectomy Distal and splenectomy hard consistency, remaining hospitalized in the Department of Surgery at later presented a pancreatic fistula low spending the same which was controlled and had an evolution favorably so within 30 days of hospitalization is decided hospital in good general conditions for outpatient control. The histopathologic result was a lymphangioma tail of the pancreas.