<?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>1405-0099</journal-id>
<journal-title><![CDATA[Cirujano general]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. gen]]></abbrev-journal-title>
<issn>1405-0099</issn>
<publisher>
<publisher-name><![CDATA[Asociación Mexicana de Cirugía General A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1405-00992023000200099</article-id>
<article-id pub-id-type="doi">10.35366/111511</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Oclusión intestinal alta secundaria a íleo biliar en un adulto joven]]></article-title>
<article-title xml:lang="en"><![CDATA[Upper intestinal occlusion due to gallstone ileus in a young adult]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Novelo Vallado]]></surname>
<given-names><![CDATA[Edwin Raul]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pech Sosa]]></surname>
<given-names><![CDATA[Erika Beatriz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General San Carlos Secretaría de Salud y Asistencia Servicio de Cirugía General]]></institution>
<addr-line><![CDATA[Tizimín Yucatán]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General San Carlos Secretaría de Salud y Asistencia ]]></institution>
<addr-line><![CDATA[Tizimín Yucatán]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<volume>45</volume>
<numero>2</numero>
<fpage>99</fpage>
<lpage>105</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992023000200099&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992023000200099&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992023000200099&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  el íleo biliar es una oclusión intestinal de tipo mecánico debida a la obstrucción de la luz intestinal por un cálculo biliar. Es una complicación rara de la colelitiasis que ocurre en 1 a 4% de todas las obstrucciones de tipo mecánico.  Caso clínico:  masculino de 36 años con cuadro clínico de dolor abdominal en epigastrio, posteriormente generalizado, emesis de contenido gastroalimentario y gastrobiliar, no canaliza gases y presenta ausencia de evacuaciones. Niega intervenciones quirúrgicas, refiere litiasis vesicular de un año de evolución. Durante la exploración física tenía abdomen distendido, ausencia de peristalsis, ruidos metálicos generalizados, resistencia muscular y rebote positivo, además de timpanismo. Pruebas de laboratorio: Na 122 mmol/l, K 4.1, leucocitos 14.1, Tp 13.4, TpT 29, albúmina 4.5, BT 1.5, BD 0.5, BI 1.0. Se realizó tomografía computarizada (TC) simple y contrastada que reportó cálculo biliar ectópico, neumobilia y distensión de asas intestinales. Se decidió laparotomía exploratoria realizando enterolitotomía longitudinal.  Conclusiones:  para el diagnóstico de íleo biliar deberá usarse TC de abdomen simple y contrastada, además se debe escoger la opción quirúrgica más ventajosa y segura.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  gallstone ileus is a rare entity, defined as the presence of a mechanical biliary obstruction by impaction of one or more large gallstone within the gastrointestinal tract. It is the cause of 1 to 4% of all cases of bowel obstruction.  Case report:  36 year old male with epigastric abdominal pain, later generalized, gastroalimentary emesis and gastro biliary, no bowel evacuation. Denies surgical interventions, he had vesicular lithiasis for one year. Physical examination pale skin, distended abdomen with no peristalsis, muscular resistance and positive rebound, tympanic and high-pitched bowl sound were audible. Blood test finding&#8217;s revealed an elevated leukocyte (14.1 × 10 cells/L), Na 122 mmol/L, TP 13.4, TpT 29, albumin 4.5, BT 1.5, BD 0.5 and BI 1.0. Computed tomography (CT) scan demonstrated distention of the jejunal loops with retention of fluid content, ectopic gallstone and pneumobilia. Exploratory laparotomy was performed for longitudinal enterotomy which ended up in gallstone extraction.  Conclusions:  CT scan should be used for diagnosis of biliary ileus and the most advantageous and safe surgical option should be chosen.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[oclusión intestinal]]></kwd>
<kwd lng="es"><![CDATA[íleo biliar]]></kwd>
<kwd lng="es"><![CDATA[enterolitotomía longitudinal]]></kwd>
<kwd lng="es"><![CDATA[neumobilia]]></kwd>
<kwd lng="es"><![CDATA[fístula colecistoentérica]]></kwd>
<kwd lng="en"><![CDATA[bowel obstruction]]></kwd>
<kwd lng="en"><![CDATA[gallstone ileus]]></kwd>
<kwd lng="en"><![CDATA[longitudinal enterotomy]]></kwd>
<kwd lng="en"><![CDATA[pneumobilia]]></kwd>
<kwd lng="en"><![CDATA[cholecystoenteric fistula]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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