<?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>1870-7203</journal-id>
<journal-title><![CDATA[Acta médica Grupo Ángeles]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. Grupo Ángeles]]></abbrev-journal-title>
<issn>1870-7203</issn>
<publisher>
<publisher-name><![CDATA[Grupo Ángeles, Servicios de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1870-72032020000300302</article-id>
<article-id pub-id-type="doi">10.35366/95409</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Lesión de Dieulafoy rectal: una causa rara, pero potencialmente mortal de hemorragia del tubo digestivo bajo]]></article-title>
<article-title xml:lang="en"><![CDATA[Dieulafoy&#8217;s rectal injury: A rare but potentially fatal cause of lower GI bleeding]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gallo Arriaga]]></surname>
<given-names><![CDATA[Benjamín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nieto Saucedo]]></surname>
<given-names><![CDATA[José Raúl]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gallo Chico]]></surname>
<given-names><![CDATA[Benjamín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ibarra Rodríguez]]></surname>
<given-names><![CDATA[J Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santibáñez Bedolla]]></surname>
<given-names><![CDATA[Karla Edith]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hidalgo Valadez]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Ángeles León Servicio de Cirugía Gastrointestinal ]]></institution>
<addr-line><![CDATA[ Guanajuato]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Guanajuato Departamento de Medicina y Nutrición ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2020</year>
</pub-date>
<volume>18</volume>
<numero>3</numero>
<fpage>302</fpage>
<lpage>305</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1870-72032020000300302&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1870-72032020000300302&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1870-72032020000300302&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La hemorragia gastrointestinal es un cuadro frecuente, tanto en consulta externa como en la Sala de Urgencias, cuya etiología puede ser diversa. La lesión de Dieulafoy, descrita por primera vez en 1898, es una de las causas más rara, pero potencialmente mortal por su dificultad diagnóstica. Se presenta el caso hombre de 81 años, quien ingresó al hospital por un cuadro de neumonía lobar inferior derecha, endocarditis bacteriana, insuficiencia renal crónica agudizada y trombocitopenia autoinmune. Durante su evolución, presentó hemorragia digestiva, la cual conllevó a choque hipovolémico en dos ocasiones. En la segunda colonoscopia, durante la retirada del colonoscopio, aproximadamente a 12 cm del margen anal, se encontró un vaso arterial aberrante con sangrado activo. Por ello, se realizó hemostasia con adrenalina diluida 1:10,000 y se colocaron dos endoclips con la resolución completa del sangrado. El paciente se recuperó del estado de choque y no presentó sangrado digestivo de nuevo, pero falleció a las dos semanas por una nueva neumonía y falla orgánica múltiple.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Gastrointestinal bleeding is a frequent disease in consultation and in the emergency room which has very different etiologies. Dieulafouy&#8217;s lesion, described for the first time in 1898 is one of the rarest but potentially mortal lesion because of its diagnostic difficulty. We present the case of an 81 year old male patient who arrived to the hospital with a right inferior lobar pneumonia, bacterial endocarditis, acute chronic renal failure and autoimmune thrombocytopenia. During the hospital evolution the patient started with gastrointestinal bleeding that produced an hypovolemic shock twice, during the second colonoscopy in the colonoscope extraction approximately at 12 cm from the anal margin we found an aberrant arterial vessel with active bleeding. We performed hemostasis with diluted adrenalin 1:10,000 and with application of two endoclips with the complete resolution of the bleeding. The patient recovered from the hypovolemic shock with no signs of a new bleeding; nevertheless, he died two weeks after the bleeding event with a multiple organic failure secondary to another pneumonia.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Hemorragia digestiva]]></kwd>
<kwd lng="es"><![CDATA[Dieulafoy]]></kwd>
<kwd lng="es"><![CDATA[recto]]></kwd>
<kwd lng="es"><![CDATA[endoscopia]]></kwd>
<kwd lng="en"><![CDATA[Gastrointestinal bleeding]]></kwd>
<kwd lng="en"><![CDATA[Dieulafoy]]></kwd>
<kwd lng="en"><![CDATA[rectum]]></kwd>
<kwd lng="en"><![CDATA[endoscopy]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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