<?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>S1405-00992014000300155</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Fístula aortoentérica como causa de sangrado gastrointestinal masivo: diagnóstico y tratamiento]]></article-title>
<article-title xml:lang="en"><![CDATA[Aortoenteric fistula as a cause of massive gastrointestinal bleeding: Diagnosis and treatment]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sandoval Santacruz]]></surname>
<given-names><![CDATA[Mario Iván]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Huerta Orozco]]></surname>
<given-names><![CDATA[Lorena Denisse]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramírez González]]></surname>
<given-names><![CDATA[Luis Ricardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Reynaga Velázquez]]></surname>
<given-names><![CDATA[José Guadalupe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Wohler]]></surname>
<given-names><![CDATA[Carmen Lilibeth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Godoy Castro]]></surname>
<given-names><![CDATA[Victor Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,IMSS Centro Médico Nacional de Occidente ]]></institution>
<addr-line><![CDATA[Guadalajara Jalisco]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2014</year>
</pub-date>
<volume>36</volume>
<numero>3</numero>
<fpage>155</fpage>
<lpage>159</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992014000300155&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992014000300155&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992014000300155&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Una fístula aortoentérica (FAE) es una comunicación anormal entre la aorta y el tracto digestivo. La incidencia de las fístulas primarias va del 0.04 al 0.07% y las secundarias, del 0.4 al 2.4%. El duodeno es el segmento más afectado. Existe una tríada clásica presente en el 11-28% de los pacientes: dolor abdominal, sangrado gastrointestinal y masa pulsátil en abdomen. La tomografía computarizada es el método diagnóstico de elección. Se presentan dos casos clínicos de FAE de etiología primaria y secundaria, ambos sometidos a tratamiento quirúrgico convencional: bypass extraanatómico con escisión del tracto fi stuloso. Las FAE son enfermedades de baja incidencia pero elevada mortalidad (&gt; 75%). Para evitar retrasos en el tratamiento, se requiere un alto índice de sospecha.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[  Abstract An aortoenteric fi stula (AEF) is an abnormal communication between the aorta and the digestive tract. The incidence of primary fi stulas ranges from 0.04%-0.07%, and 0.4-2.4% for secondary etiology. The duodenum is the most affected segment. There is a classic triad present in 11-28% of patients: abdominal pain, gastrointestinal bleeding, and pulsatile mass in abdomen. Computed tomography (CT) is the diagnostic method of choice. Two cases of AEF of primary and secondary etiology are presented, both of whom underwent conventional surgical treatment: extra-anatomical bypass with excision of the fi stulous tract. The AEFs are diseases of low incidence but high mortality (&gt; 75%), but to avoid delays in treatment a high index of suspicion is required.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Fístula]]></kwd>
<kwd lng="es"><![CDATA[Aortoentérica]]></kwd>
<kwd lng="es"><![CDATA[Aortoduodenal]]></kwd>
<kwd lng="en"><![CDATA[Fistula]]></kwd>
<kwd lng="en"><![CDATA[Aortoenteric]]></kwd>
<kwd lng="en"><![CDATA[Aortoduodenal]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Martínez Pérez]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Caldevilla Bernardo]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Villar García]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fístula aorto-entérica secundaria a prótesis vascular como causa de hemorragia digestiva]]></article-title>
<source><![CDATA[Emergencias]]></source>
<year>2010</year>
<volume>22</volume>
<page-range>44-6</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rhéaume]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Raymond]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Thibault]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A rational, structured approach to primary aortoenteric fistula]]></article-title>
<source><![CDATA[Can J Surg]]></source>
<year>2008</year>
<volume>51</volume>
<page-range>125-6</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tareen]]></surname>
<given-names><![CDATA[AH]]></given-names>
</name>
<name>
<surname><![CDATA[Schroeder]]></surname>
<given-names><![CDATA[TV]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Primary aortoenteric fistula: two new case reports and a review of 44 previously reported cases]]></article-title>
<source><![CDATA[Eur J Vasc Endovasc Surg]]></source>
<year>1996</year>
<volume>12</volume>
<page-range>5-10</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Alzobydi]]></surname>
<given-names><![CDATA[AH]]></given-names>
</name>
<name>
<surname><![CDATA[Guraya]]></surname>
<given-names><![CDATA[SS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Primary aortoduodenal fistula: A case report]]></article-title>
<source><![CDATA[World J Gastroenterol]]></source>
<year>2013</year>
<volume>19</volume>
<page-range>415-7</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rossi]]></surname>
<given-names><![CDATA[FH]]></given-names>
</name>
<name>
<surname><![CDATA[Izukawa]]></surname>
<given-names><![CDATA[NM]]></given-names>
</name>
<name>
<surname><![CDATA[Prakasan]]></surname>
<given-names><![CDATA[AK]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A case report of an endovascular treatment of secondary aortoenteric fistula]]></article-title>
<source><![CDATA[J Vasc Bras]]></source>
<year>2012</year>
<volume>11</volume>
<page-range>236-9</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Armstrong]]></surname>
<given-names><![CDATA[PA]]></given-names>
</name>
<name>
<surname><![CDATA[Back]]></surname>
<given-names><![CDATA[MR]]></given-names>
</name>
<name>
<surname><![CDATA[Wilson]]></surname>
<given-names><![CDATA[JS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Improved outcomes in the recent management of secondary aortoenteric fi stula]]></article-title>
<source><![CDATA[J Vasc Surg]]></source>
<year>2005</year>
<volume>42</volume>
<page-range>660-6</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Perju-Dumbrava]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Chiroban]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Fulga]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Aortoenteric fi stula: a possible cause of sudden death. Case report]]></article-title>
<source><![CDATA[Rom J Leg Med]]></source>
<year>2013</year>
<volume>21</volume>
<page-range>19-22</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Van Haren]]></surname>
<given-names><![CDATA[FMP]]></given-names>
</name>
<name>
<surname><![CDATA[Swarbrick]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
<name>
<surname><![CDATA[Holdaway]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Aortoenteric fistula causing massive bleeding]]></article-title>
<source><![CDATA[Enth J Crit Care]]></source>
<year>2012</year>
<volume>16</volume>
<page-range>60-2</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sanchis García]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Molina Fábrega]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[La Parra Casado]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fístulas aortoentéricas primarias: presentación de dos casos y revisión de la literatura]]></article-title>
<source><![CDATA[RAR]]></source>
<year>2007</year>
<volume>71</volume>
<page-range>423-7</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Acosta]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Karatanasopuloz]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Haydar]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fístula aortoentérica como causa de hemorragia digestiva en tres pacientes adultos]]></article-title>
<source><![CDATA[Med Intensiva]]></source>
<year>2006</year>
<volume>30</volume>
<page-range>120-2</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Thompson]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Jackson]]></surname>
<given-names><![CDATA[DC]]></given-names>
</name>
<name>
<surname><![CDATA[Johnsrude]]></surname>
<given-names><![CDATA[IS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Aortoenteric and paraprosthetic-enteric fistulas: radiologic findings]]></article-title>
<source><![CDATA[AJR Am J Roentgenol]]></source>
<year>1976</year>
<volume>127</volume>
<page-range>235-42</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Martínez Aguilar]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Acín]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[March]]></surname>
<given-names><![CDATA[JR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Reparación de las fístulas aortoentéricas secundarias. Revisión sistemática]]></article-title>
<source><![CDATA[Cir Esp]]></source>
<year>2007</year>
<volume>82</volume>
<page-range>321-7</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chang]]></surname>
<given-names><![CDATA[MW]]></given-names>
</name>
<name>
<surname><![CDATA[Chan]]></surname>
<given-names><![CDATA[YL]]></given-names>
</name>
<name>
<surname><![CDATA[Hsieh]]></surname>
<given-names><![CDATA[HC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Secondary aortoduodenal fistula]]></article-title>
<source><![CDATA[Chang Gung Med J]]></source>
<year>2002</year>
<volume>25</volume>
<page-range>626-9</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
