<?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>S1405-00992017000200101</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Hemorragia de tubo digestivo bajo masiva secundaria a divertículo de Meckel: reporte de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Massive lower gastrointestinal bleeding secondary to a Meckel&#8217;s diverticulum: a case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castillo Barragán]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Joo Márquez]]></surname>
<given-names><![CDATA[Paul]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Choel Molina]]></surname>
<given-names><![CDATA[Diego Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valdez Grajales]]></surname>
<given-names><![CDATA[Héctor]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lara Aguilera]]></surname>
<given-names><![CDATA[Selene]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital &#8220;Dr. Jesús Gilberto Gómez Maza&#8221;  ]]></institution>
<addr-line><![CDATA[Tuxtla Gutiérrez Chiapas]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Ángeles Pedregal  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital &#8220;Dr. Jesús Gilberto Gómez Maza&#8221;  ]]></institution>
<addr-line><![CDATA[Tuxtla Gutiérrez Chiapas]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital &#8220;Dr. Jesús Gilberto Gómez Maza&#8221;  ]]></institution>
<addr-line><![CDATA[Tuxtla Gutiérrez Chiapas]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2017</year>
</pub-date>
<volume>39</volume>
<numero>2</numero>
<fpage>101</fpage>
<lpage>104</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992017000200101&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992017000200101&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992017000200101&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Paciente masculino de 24 años de edad con hemorragia masiva de tubo digestivo bajo (HTDB); presentaba inestabilidad hemodinámica y requirió de múltiples transfusiones de hemoderivados; fue refractario al tratamiento médico. Se indicó panendoscopia en la cual no se evidenció un diagnóstico concluyente por la presencia de sangrado activo al momento de la misma; no se logró realizar debido al estado hemodinámico del paciente, por lo cual se decidió un tratamiento quirúrgico de urgencia. Se realizó laparotomía exploradora en la cual se evidenció el sitio de sangrado: un divertículo de Meckel. Por ello, se decidió hemicolectomía derecha más resección de íleon terminal. Se exponen los datos clínicos del paciente, su manejo y posterior evolución, así como los fundamentos tomados en cuenta por el cirujano para determinar la conducta quirúrgica realizada. Este caso demuestra la necesidad de una revisión de nuestra comprensión actual sobre el divertículo de Meckel.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: A 24-year-old male patient with massive hemorrhage of the lower digestive tract (HTDB); he presented hemodynamic instability and required multiple transfusions of blood products, being refractory to medical treatment. Panendoscopy was indicated, in which a conclusive diagnosis was not evidenced due to the presence of active bleeding; it could not be performed due to the hemodynamic status of the patient, for whom an emergency surgical treatment was decided. An exploratory laparotomy was performed in which the bleeding site was evidenced: a Meckel&#8217;s diverticulum; whereby, right hemicolectomy and terminal ileum resection were decided. The clinical data of the patient, his management and subsequent evolution, as well as the fundamentals taken into account by the surgeon to determine the surgical behavior performed are presented. This case demonstrates the need for a review of our current understanding of Meckel&#8217;s diverticulum.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Divertículo]]></kwd>
<kwd lng="es"><![CDATA[Meckel]]></kwd>
<kwd lng="es"><![CDATA[intestino delgado]]></kwd>
<kwd lng="es"><![CDATA[sangrado]]></kwd>
<kwd lng="en"><![CDATA[Diverticulum]]></kwd>
<kwd lng="en"><![CDATA[Meckel]]></kwd>
<kwd lng="en"><![CDATA[small intestine]]></kwd>
<kwd lng="en"><![CDATA[bleeding]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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