<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0300-9041</journal-id>
<journal-title><![CDATA[Ginecología y obstetricia de México]]></journal-title>
<abbrev-journal-title><![CDATA[Ginecol. obstet. Méx.]]></abbrev-journal-title>
<issn>0300-9041</issn>
<publisher>
<publisher-name><![CDATA[Federación Mexicana de Colegios de Obstetricia y Ginecología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0300-90412021000300012</article-id>
<article-id pub-id-type="doi">10.24245/gom.v89i3.4553</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Vólvulo colónico recidivado en una mujer embarazada: tratamiento endoscópico]]></article-title>
<article-title xml:lang="en"><![CDATA[Recurrent colonic volvulus in pregnancy: endoscopic treatment]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-Salazar]]></surname>
<given-names><![CDATA[Esteban Agustín]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vanetta]]></surname>
<given-names><![CDATA[Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lage]]></surname>
<given-names><![CDATA[María Fernanda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Marcolongo]]></surname>
<given-names><![CDATA[Mariano Martín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Izbizky]]></surname>
<given-names><![CDATA[Gustavo Hernán]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rossi]]></surname>
<given-names><![CDATA[Gustavo Leandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Italiano de Buenos Aires  ]]></institution>
<addr-line><![CDATA[Buenos Aires ]]></addr-line>
<country>Argentina</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Italiano de Buenos Aires Servicio de Cirugía general ]]></institution>
<addr-line><![CDATA[Buenos Aires ]]></addr-line>
<country>Argentina</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Italiano de Buenos Aires Servicio de Obstetricia ]]></institution>
<addr-line><![CDATA[Buenos Aires ]]></addr-line>
<country>Argentina</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Italiano de Buenos Aires Servicio de Gastroenterología ]]></institution>
<addr-line><![CDATA[Buenos Aires ]]></addr-line>
<country>Argentina</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<volume>89</volume>
<numero>3</numero>
<fpage>274</fpage>
<lpage>278</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412021000300012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412021000300012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412021000300012&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  ANTECEDENTES:  La oclusión intestinal durante el embarazo es poco frecuente e implica una alta mortalidad fetal y materna, generalmente asociada con el retraso en el diagnóstico. Una de las causas es el vólvulo colónico, casi siempre asociado con pacientes añosos postrados.  CASO CLÍNICO:  Paciente de 32 años, con antecedentes de colectomía izquierda laparoscópica por dolicomegasigma, en la trigésima semana de embarazo. Acudió a urgencias con dolor abdominal cólico y vómitos. La ecografía mostró líquido libre y distensión colónica. La TAC planteó la sospecha de un vólvulo colónico. La videocolonoscopia resultó efectiva para resolver el cuadro. El embarazo continuó sin nuevas intercurrencias y se finalizó en la semana 40 mediante cesárea electiva, sin complicaciones para la madre ni para el recién nacido.  CONCLUSIONES:  El vólvulo de colon es excepcional durante el embarazo. Su diagnóstico representa un desafío debido a que los síntomas son semejantes a los del embarazo; además, se carece de un consenso que indique cuál es el mejor estudio diagnóstico. El médico debe tener la sospecha de su posibilidad. El procedimiento endoscópico para remediarlo es una buena opción en ausencia de síntomas peritoneales o sufrimiento fetal.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  BACKGROUND:  Intestinal occlusion during pregnancy is rare and involves high fetal and maternal mortality, generally associated with delayed diagnosis. One of the causes is colonic volvulus, almost always associated with elderly prostrate patients.  CLINICAL CASE:  A 32-year-old patient with a history of laparoscopic left colectomy for dolichomegasigma, in the thirtieth week of pregnancy. She came to the emergency room with colicky abdominal pain and vomiting. Ultrasound showed free fluid and colonic distension. CT scan raised the suspicion of a colonic volvulus. Videocolonoscopy was effective in resolving the picture. The pregnancy continued without further intercurrences and was terminated at 40 weeks by elective cesarean section, with no complications for the mother or the newborn.  CONCLUSIONS:  Colon volvulus is exceptional during pregnancy. Its diagnosis represents a challenge because the symptoms are similar to those of pregnancy; in addition, there is no consensus on the best diagnostic study. The physician must be suspicious of its possibility. Endoscopic remediation is a good option in the absence of peritoneal symptoms or fetal distress.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Oclusión intestinal]]></kwd>
<kwd lng="es"><![CDATA[obstrucción intestinal]]></kwd>
<kwd lng="es"><![CDATA[vólvulo]]></kwd>
<kwd lng="es"><![CDATA[vólvulo colónico]]></kwd>
<kwd lng="es"><![CDATA[embarazo]]></kwd>
<kwd lng="es"><![CDATA[laparoscopia]]></kwd>
<kwd lng="es"><![CDATA[colectomía]]></kwd>
<kwd lng="es"><![CDATA[dolor abdominal]]></kwd>
<kwd lng="es"><![CDATA[ultrasonografía]]></kwd>
<kwd lng="en"><![CDATA[Intestinal occlusion]]></kwd>
<kwd lng="en"><![CDATA[Intestinal obstruction]]></kwd>
<kwd lng="en"><![CDATA[Volvulus]]></kwd>
<kwd lng="en"><![CDATA[Colonic volvulus]]></kwd>
<kwd lng="en"><![CDATA[Pregnancy]]></kwd>
<kwd lng="en"><![CDATA[Laparoscopic]]></kwd>
<kwd lng="en"><![CDATA[Colectomy]]></kwd>
<kwd lng="en"><![CDATA[Abdominal pain]]></kwd>
<kwd lng="en"><![CDATA[Ultrasonography]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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