<?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>S1405-00992016000400203</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Divertículo yeyunal, neumatosis intestinal segmentaria, íleo biliar y oclusión aórtica en silla de montar. Reporte de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Jejunal diverticulum, segmental intestinal pneumatosis, gallstone ileus and aortic occlusion saddle. A case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez-Paz]]></surname>
<given-names><![CDATA[Carlos Agustín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A3"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Herrera-Flores]]></surname>
<given-names><![CDATA[Héctor Tomás]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramos-Martínez]]></surname>
<given-names><![CDATA[Paris]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carreón-Bringas]]></surname>
<given-names><![CDATA[Rosa María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital de Especialidades Médicas de la Salud Servicio de Cirugía General ]]></institution>
<addr-line><![CDATA[San Luis Potosí ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital General Núm. 50 ]]></institution>
<addr-line><![CDATA[San Luis Potosí ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Cuauhtémoc Escuela de Medicina ]]></institution>
<addr-line><![CDATA[San Luis Potosí ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital General Núm. 50 Servicio de Cirugía Vascular]]></institution>
<addr-line><![CDATA[San Luis Potosí ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad Cuauhtémoc Escuela de Medicina ]]></institution>
<addr-line><![CDATA[San Luis Potosí ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital General Núm. 1 ]]></institution>
<addr-line><![CDATA[San Luis Potosí ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2016</year>
</pub-date>
<volume>38</volume>
<numero>4</numero>
<fpage>203</fpage>
<lpage>206</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992016000400203&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992016000400203&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992016000400203&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Paciente masculino de 66 años con pérdida de fuerza en miembros inferiores y dolor abdominal, sin pulsos y vena cava colapsada de acuerdo con la tomografía computarizada (TC). Ingresa a quirófano por datos de oclusión aórtica en silla de montar y obstrucción intestinal. Los hallazgos transoperatorios de la trombectomía femoral bilateral son: abundantes trombos desde la aorta abdominal hasta los lechos distales; divertículo yeyunal a 45 cm del ángulo de Treitz, neumatosis intestinal de la submucosa de 40 a 70 cm del ángulo de Treitz, un íleo biliar a 220 cm de la válvula ileocecal con proceso de necrosis intestinal. Falleció de paro por infarto cardiaco nuevo al final de la cirugía. De los cinco padecimientos quirúrgicos, tres (íleo biliar, divertículo yeyunal y neumatosis intestinal) son de una frecuencia menor de 1.3 a 0.03% en autopsias; la conjunción de los cinco condicionó la muerte a pesar de los esfuerzos médico quirúrgicos en un evento agudo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: 66 male patient with lower limb strength loss and abdominal pain, pulseless and effacement CT vena cava. Enter data to surgery for aortic occlusion saddle and intestinal obstruction. The findings trans operative with bilateral femoral thrombectomy, abundant thrombi from the abdominal aorta to the distal beds; yeyuneal diverticulum 45 cm Treitz angle, pneumatosis intestinal mucosal sub at 40 to 70 cm Treitz a gallstone ileus to 220 cm from the ileocecal valve with intestinal necrosis process. He died of heart attack stop by again at the end of surgery. Of the five surgical, three conditions (gallstone ileus, yeyuneal diverticulum, intestinal pneumatosis) are frequency less than 1.3 at 0.03% in autopsies; the conjunction of the five-conditional death despite surgical efforts at an acute event.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[íleo biliar]]></kwd>
<kwd lng="es"><![CDATA[neumatosis intestinal]]></kwd>
<kwd lng="es"><![CDATA[divertículo yeyunal]]></kwd>
<kwd lng="es"><![CDATA[oclusión aórtica en silla de montar]]></kwd>
<kwd lng="es"><![CDATA[obstrucción intestinal]]></kwd>
<kwd lng="en"><![CDATA[Gallstone ileus]]></kwd>
<kwd lng="en"><![CDATA[intestinal neumatosis]]></kwd>
<kwd lng="en"><![CDATA[yeyuneal diverticula]]></kwd>
<kwd lng="en"><![CDATA[aortic occlusion saddle]]></kwd>
<kwd lng="en"><![CDATA[intestinal obstruction]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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