Related Experiment Video
Updated: Jul 29, 2025

Application of Robot-assisted Pancreaticobiliary Junction Resection in Benign Duodenal Tumors
Published on: December 20, 2024
Upper digestive bleeding secondary to duodenal infiltration due to pancreatic cancer: a therapeutic challenge
José García Flores1, Manuel Sánchez Cánovas2, Emilio Torrella Cortés3
1Internal Medicine, Hospital General Universitario José María Morales Meseguer, España.
Abstract:
A 68-year-old woman with stage IV pancreatic adenocarcinoma (liver and lymph node metastases) on first-line treatment with gemcitabine. As a non-oncological comorbidity, the patient was anticoagulated with enoxaparin 8000 IU/24 hours because she had a mitral valve prosthesis. The patient made a medical consultation for presenting vomits which looked like coffee grounds and melaena. In the complete blood count, a hemoglobin of 7.5 g/dL was detected. Transfusion support, pantoprazole infusion (80 mg in 500 cc of 0.9% SSF every 12 hours) and parenteral nutrition were prescribed. Tranexamic was not prescribed due to the patient's cardiological history.
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