<?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>2444-6483</journal-id>
<journal-title><![CDATA[Endoscopia]]></journal-title>
<abbrev-journal-title><![CDATA[Endoscopia]]></abbrev-journal-title>
<issn>2444-6483</issn>
<publisher>
<publisher-name><![CDATA[Asociación Mexicana de Endoscopia Gastrointestinal A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2444-64832019000200085</article-id>
<article-id pub-id-type="doi">10.24875/end.19000003</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Lesión de Dieulafoy cecal: una causa inusual de rectorragia severa recurrente]]></article-title>
<article-title xml:lang="en"><![CDATA[Lesion of cecal Dieulafoy: an unusual cause of recurrent severe rectal bleeding]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sandoval-Montero]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barboza-Porras]]></surname>
<given-names><![CDATA[Shirley]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vargas-Madrigal]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Costa Rica Posgrado de Gastroenterología y Endoscopia Digestiva ]]></institution>
<addr-line><![CDATA[Guanacaste ]]></addr-line>
<country>Costa Rica</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Dr. Enrique Baltodano Briceño Servicio de Gastroenterologí Gastroenterología y Endoscopia Digestiva]]></institution>
<addr-line><![CDATA[Guanacaste ]]></addr-line>
<country>Costa Rica</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>31</volume>
<numero>2</numero>
<fpage>85</fpage>
<lpage>89</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-64832019000200085&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-64832019000200085&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-64832019000200085&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La lesión de Dieulafoy consiste en la persistencia del calibre de una arteria submucosa que protruye sobre una mucosa normal, siendo inusual su ubicación en colon, que ocurre en el 2% de los casos. Presentamos el caso de un paciente de 30 años, conocido sano, referido por rectorragia severa, con esofagogastroduodenoscopia inicial sin causa de sangrado activo y una colonoscopia que documenta pólipo pediculado de aproximadamente 20 mm de diámetro, cubierto con restos hemáticos, el cual no parece presentar sangrado activo. Se reprograma 48 horas después para polipectomía y se reseca la lesión, sin evidenciar otras causas de sangrado y verificando adecuada hemostasia. El paciente reconsulta 6 meses después por rectorragia severa y se realiza nueva colonoscopia con hallazgo en el ciego de lesión vascular compatible con lesión de Dieulafoy, la cual se coagula con plasma argón tras un intento fallido de hemostasia con pinza de coagulación. El tratamiento de elección es endoscópico. En caso de fracaso se deberá recurrir a la cirugía y la arteriografía es una buena alternativa en pacientes no candidatos a cirugía.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Dieulafoy lesion consists in the persistence of the caliber of a submucosal artery until it protrudes on a normal mucosal; its location in the colon is very unusual and occurs in only 2% of the cases. We present the case of a 30-year-old man, with no other illness, referred because of severe rectal bleeding, with a normal initial esophagogastroduodenoscopy, and an initial colonoscopy where a 20 mm pedunculated polyp without recent bleeding signs was detected, covered with blood stains. Due to this finding colonoscopy was repeated in 48 hours and polyp was resected, with adequate hemostasis. Patient reconsulted for severe rectal bleeding, for this reason a new colonoscopy was performed, finding a vascular lesion in the cecum compatible with a Dieulafoy lesion, which was coagulated with argon plasma after an initial failure of hemostasis with coagulation forceps. The main treatment is endoscopic, with surgery being an option in patients who can&#8217;t be controlled by endoscopy, although in patients who are not surgical candidates, angiography could be considered an option.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Lesión de Dieulafoy]]></kwd>
<kwd lng="es"><![CDATA[Rectorragia severa]]></kwd>
<kwd lng="es"><![CDATA[Coagulación con plasma argón (APC)]]></kwd>
<kwd lng="en"><![CDATA[Dieulafoy lesion]]></kwd>
<kwd lng="en"><![CDATA[Severe rectal bleeding]]></kwd>
<kwd lng="en"><![CDATA[Argon plasma coagulation (APC)]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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