Gran adenocarcinoma de cabeza pancreática sin ictericia

A 28 – year-old female patient, black, of rural origin with a history of lithiasis during seven years ago was presented in this paper. She came to General Surgery consultation because when eating food occasionally presented vomiting of yellow color, few in number and food content. When examination was performed a palpable tumor in the right upper quadrant of eight centimeters was found, so she was admitted for evaluation, after the surgical treatment was performed a big pancreatic head adenocarcinoma was found, with compression of the duodenum, neither jaundice nor extrahepatic bile duct dilatation were observed. Pancreatoduodenectomy with reconstruction of gastrointestinal and biliodigestive traffic was performed. Keywords : hypochondrium, pancreaticoduodenectomy, gastrointestinal, biliodigestive.