<?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>S2444-054X2020000800060</article-id>
<article-id pub-id-type="doi">10.24875/ciru.20000332</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Ictericia obstructiva intermitente o síndrome de Lemmel: reporte de caso y revisión de la literatura]]></article-title>
<article-title xml:lang="en"><![CDATA[Intermittent obstructive jaundice or Lemmel syndrome: case report and literature review]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Dávila-Ruiz]]></surname>
<given-names><![CDATA[Ediel O.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Manzano]]></surname>
<given-names><![CDATA[Roberto A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barker-Antonio]]></surname>
<given-names><![CDATA[Alan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Santiago]]></surname>
<given-names><![CDATA[Nallely Y.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Isidoro-Hernández]]></surname>
<given-names><![CDATA[Dolores]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez-Guerrero]]></surname>
<given-names><![CDATA[Rolando I.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Secretaría de Salud Oaxaca Hospital Regional de Alta Especialidad de Oaxaca Servicio de Cirugía General]]></institution>
<addr-line><![CDATA[Oaxaca ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General Sur Puebla &#8220;Dr. Eduardo Vásquez Navarro&#8221; Servicio de Cirugía General ]]></institution>
<addr-line><![CDATA[Puebla ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<volume>88</volume>
<fpage>60</fpage>
<lpage>65</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-054X2020000800060&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-054X2020000800060&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-054X2020000800060&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Se presenta el caso de una paciente de 68 años con un cuadro de colangitis recurrente y presencia de divertículo duodenal que comprime la vía biliar. El síndrome de Lemmel es una afección infrecuente en la literatura, debido a que los divertículos duodenales rara vez presentan síntomas (10%) y en general se diagnostican de manera incidental. El 75% de estos divertículos son periampulares. Si se localizan a 2.5 cm del ámpula de Vater son yuxtapapilares. Solo el 1% presentan complicaciones. Debe ser considerado en caso de ictericia intermitente y colangitis, y tenerlo en cuenta como diagnóstico diferencial de pseudoquistes, tumor de cabeza de páncreas o metástasis.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract We present the case of a 68-year-old patient with recurrent cholangitis and the presence of a duodenal diverticulum that compresses the bile duct. Lemmel syndrome is a rare entity reported in the literature, because duodenal diverticula rarely have symptoms (10%) and are usually diagnosed incidentally, 75% of these diverticula are periampullary, if they are located within 2.5 cm from the Vater ampule are juxtapapillary. Only 1% present complications. It should be considered in case of intermittent jaundice, cholangitis, as a differential diagnosis of psuedocysts, pancreatic head tumor or metastases.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Colangitis aguda]]></kwd>
<kwd lng="es"><![CDATA[Divertículo]]></kwd>
<kwd lng="es"><![CDATA[Divertículo duodenal periampular]]></kwd>
<kwd lng="es"><![CDATA[Divertículo yuxtapapilar]]></kwd>
<kwd lng="es"><![CDATA[Duodeno]]></kwd>
<kwd lng="es"><![CDATA[Síndrome de Lemmel]]></kwd>
<kwd lng="en"><![CDATA[Acute cholangitis]]></kwd>
<kwd lng="en"><![CDATA[Diverticulum]]></kwd>
<kwd lng="en"><![CDATA[Periampullary duodenal diverticulum]]></kwd>
<kwd lng="en"><![CDATA[Juxtapapillary diverticula]]></kwd>
<kwd lng="en"><![CDATA[Duodenum]]></kwd>
<kwd lng="en"><![CDATA[Lemmel syndrome]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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