<?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>2444-054X</journal-id>
<journal-title><![CDATA[Cirugía y cirujanos]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. cir.]]></abbrev-journal-title>
<issn>2444-054X</issn>
<publisher>
<publisher-name><![CDATA[Academia Mexicana de Cirugía A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2444-054X2023000600839</article-id>
<article-id pub-id-type="doi">10.24875/ciru.22000179</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Vólvulo del sigmoide y adenocarcinoma de colon descendente, una doble causa de obstrucción intestinal: un reporte de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Sigmoid volvulus and descending colon adenocarcinoma, a double cause of intestinal obstruction: a case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Senejoa]]></surname>
<given-names><![CDATA[Nairo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-Ausique]]></surname>
<given-names><![CDATA[Paola S.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Enamorado-Enciso]]></surname>
<given-names><![CDATA[Nicolle]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Militar Central Servicio de Coloproctología ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Militar Central Departamento de Cirugía General ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Militar Central Universidad Militar Nueva Granada Facultad de Medicina]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<volume>91</volume>
<numero>6</numero>
<fpage>839</fpage>
<lpage>843</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-054X2023000600839&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-054X2023000600839&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-054X2023000600839&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La obstrucción del intestino grueso es causada por cáncer colorrectal, enfermedad diverticular o vólvulo. Este último, por la rotación del asa intestinal sobre su propio eje mesentérico, y se da en el colon sigmoide (80%) y en el ciego (15-20%). Su manejo incluye devolvulación por colonoscopia o quirúrgica. La obstrucción intestinal maligna es la presentación inicial en el 7-29% del cáncer colorrectal, y su tratamiento óptimo es controvertido. Describimos un caso clínico de una doble lesión obstructiva y su abordaje quirúrgico; una presentación inusual que conlleva un reto diagnóstico y de manejo médico quirúrgico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Large bowel obstruction is caused by colorectal cancer, diverticular disease or volvulus. The latter is caused by rotation of the intestinal loop on its own mesenteric axis, and occurs in the sigmoid colon (80%) and in the cecum (15-20%) Its management includes devolution by colonoscopy or surgery. Malignant bowel obstruction is the initial presentation in 7-29% of colorectal cancer, and its optimal treatment is controversial. We describe a clinical case of a double obstructive lesion and its surgical approach, an unusual presentation that poses a diagnostic and medical-surgical management challenge.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Vólvulo sigmoideo]]></kwd>
<kwd lng="es"><![CDATA[Cáncer de sigmoide]]></kwd>
<kwd lng="es"><![CDATA[Obstrucción colónica]]></kwd>
<kwd lng="en"><![CDATA[Sigmoid volvulus]]></kwd>
<kwd lng="en"><![CDATA[Sigmoid cancer]]></kwd>
<kwd lng="en"><![CDATA[Colonic obstruction]]></kwd>
</kwd-group>
</article-meta>
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