<?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>S1405-00992020000100045</article-id>
<article-id pub-id-type="doi">10.35366/92711</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Sangrado digestivo bajo masivo por tumor de GIST en un divertículo de Meckel]]></article-title>
<article-title xml:lang="en"><![CDATA[Bleed digestive under severe for tumor of GIST in a Meckel diverticulum]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mederos Curbelo]]></surname>
<given-names><![CDATA[Orestes Noel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barrera Ortega]]></surname>
<given-names><![CDATA[Juan Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López Sotelo]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mederos Trujillo]]></surname>
<given-names><![CDATA[Orlando Noel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Lara]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Clínico Quirúrgico "Comandante Manuel Fajardo"  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitario Clínico Quirúrgico "Comandante Manuel Fajardo"  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Universitario Clínico Quirúrgico "Comandante Manuel Fajardo"  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Universitario Clínico Quirúrgico "Comandante Manuel Fajardo"  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital Universitario Clínico Quirúrgico "Comandante Manuel Fajardo"  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<volume>42</volume>
<numero>1</numero>
<fpage>45</fpage>
<lpage>49</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992020000100045&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992020000100045&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992020000100045&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: La presencia de tumores en los divertículos de Meckel es poco frecuente. La mayoría es benigna, pero entre los malignos encontramos adenocarcinomas, sarcomas y carcinoides. También, ha sido informada la presencia de tumores del estroma gastrointestinal (GIST), los cuales pueden ser benignos o malignos. Nos motivó a este trabajo la presentación clínica de un GIST en un divertículo de Meckel con una hemorragia digestiva baja severa e hipovolemia, la cual provocó una intervención quirúrgica urgente.  Caso clínico:  Se presenta el caso de una mujer de 42 años con hemorragia digestiva baja severa y choque hipovolémico; ella fue operada de urgencia, porque la causa del sangrado era un tumor del estroma gastrointestinal en un divertículo de Meckel. El tratamiento quirúrgico consistió en una resección intestinal con límites oncológicos. El estudio histopatológico confirmó la presencia del tumor maligno.  Conclusiones:  La presencia de un tumor del estroma gastrointestinal en un divertículo de Meckel, aunque es poco frecuente, ha sido informada en la literatura médica, pero no la presentación clínica de un GIST en un divertículo de Meckel con una hemorragia severa que conduce a un choque hipovolémico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: The presence of tumors in the Meckel diverticulum is not very frequent, most is benign, among the wicked ones we find adenocarcinomas, sarcomas and carcinoides, the presence of tumors of the gastrointestinal stromal tumor (GIST) has also been informed that can be benign or wicked. The clinical presentation of a GIST in a Meckel diverticulum with a severe low digestive hemorrhage and hypovolemia that cause an urgent surgical intervention motivated us this presentation.  Clinical case:  Woman of 42 years, with severe low digestive hemorrhage and shock hypovolemic, operated of urgency being the cause of the one bleeding a gastrointestinal stromal tumor in a Meckel diverticulum. The surgical treatment consisted on an intestinal resection with limit oncologic, the histopathological study confirms the presence of the wicked tumor.  Conclusions:  The presence a gastrointestinal stromal tumor in a Meckel diverticulum, although not very frequent it has been informed in medical literature, but not the clinical presentation of a GIST in a Meckel diverticulum with severe hemorrhage that leads to hypovolemic shock.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Divertículo de Meckel]]></kwd>
<kwd lng="es"><![CDATA[sangrado gastrointestinal]]></kwd>
<kwd lng="es"><![CDATA[choque hipovolémico]]></kwd>
<kwd lng="es"><![CDATA[tumor del estroma gastrointestinal]]></kwd>
<kwd lng="en"><![CDATA[Meckel's diverticulum]]></kwd>
<kwd lng="en"><![CDATA[gastrointestinal bleed]]></kwd>
<kwd lng="en"><![CDATA[shock hypovolemic]]></kwd>
<kwd lng="en"><![CDATA[gastrointestinal stromal tumor]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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