Dieulafoy's lesion in the cecal pole diagnosed by video-capsule endoscopy. A rare cause of lower gastrointestinal bleeding.

Dieulafoy's lesion is a rare vascular malformation that can cause massive acute gastrointestinal hemorrhage threatening the patient's life. This correspondence to the editor outlines the clinical presentation of a patient in whom, owing to the utilization of capsule endoscopy followed by subsequent colonoscopy, a diagnosis of hemorrhage resulting from a Dieulafoy's lesion located in the colon, a relatively uncommon site, was successfully established. Following intervention involving the application of hemoclips, the patient experienced a favorable clinical evolution.

Gestación gemelar con muerte intraútero de uno de los fetos en un hospital general de Perú / Twin pregnancy with intrauterine death of one fetusin a general hospital in Peru

El embarazo múltiple está asociado a un aumento en la mortalidad y morbilidad perinatal, comparado con el embarazo único. Una complicación grave que afecta al embarazo gemelar, es la muerte fetal in útero de un gemelo, situación que implica un riesgo de morbilidad/mortalidad para el feto sobreviviente y la embarazada. Presentamos un caso de una paciente de 29 años que recibió tratamiento de infertilidad de baja complejidad, resultando una gestación gemelar monocoriónico diamniótico, que nació a las 38 semanas de gestación presentando un feto muerto desde las 21 semanas, fue sometida a cesárea por inicio de trabajo de parto y feto de situación transversa, evolucionando favorablemente. (AU)

Multiple pregnancy is associated with increased perinatal mortality and morbidity, compared with singleton pregnancy. A serious complication that affects twin pregnancy is fetal death in utero ofone twin, a situation that involves risk of morbidity / mortality for the surviving fetus and pregnant. We present a case of a patient of 29 years who received infertility treatment low complexity, resulting diamniótico monochorionic twin pregnancy, born at 38 weeks of gestation presenting a stand still from 21 weeks fetus underwent cesarean start working delivery and fetal transverse lie, evolving favorably. (AU)