In the institution she had an upper digestive tract x-ray Figure 1. When interviewed the patient described a 4 month long episode that had intensified in the previous 8 days. It was characterized by abdominal pain, vomiting, abdominal distension and melena.
Al interrogarla, la paciente refería cuadro de 4 meses que se había intensificado en los últimos de 8 días y se caracterizaba por dolor abdominal, vómito, distensión abdominal y melenas.