<?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>2448-8909</journal-id>
<journal-title><![CDATA[Medicina crítica (Colegio Mexicano de Medicina Crítica)]]></journal-title>
<abbrev-journal-title><![CDATA[Med. crít. (Col. Mex. Med. Crít.)]]></abbrev-journal-title>
<issn>2448-8909</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Medicina Crítica A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2448-89092022000700476</article-id>
<article-id pub-id-type="doi">10.35366/108716</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Disfagia secundaria a ascitis en preeclampsia con criterios de severidad]]></article-title>
<article-title xml:lang="en"><![CDATA[Dysphagia due to ascites in preeclampsia with severe features]]></article-title>
<article-title xml:lang="pt"><![CDATA[Disfagia secundária à ascite na pré-eclâmpsia com critérios de gravidade]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Regalado]]></surname>
<given-names><![CDATA[Jacob]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Espinosa Camacho]]></surname>
<given-names><![CDATA[José Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aguirre Rolón]]></surname>
<given-names><![CDATA[Koritza]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano de Seguridad Social Hospital General de Zona No. 7 ]]></institution>
<addr-line><![CDATA[Lagos de Moreno ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2022</year>
</pub-date>
<volume>36</volume>
<numero>7</numero>
<fpage>476</fpage>
<lpage>480</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-89092022000700476&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-89092022000700476&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-89092022000700476&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  la preeclampsia es una de las mayores causas de mortalidad y morbilidad materna en México. Sus características clínicas son diversas, y algunas infrecuentes, entre ellas el desarrollo de ascitis. Cuando se presenta, puede repercutir de manera negativa en el curso clínico y el pronóstico del embarazo. La disfagia secundaria a ascitis en preeclampsia ha sido descrita con poca frecuencia en la literatura.  Objetivo:  documentar un caso de disfagia como síntoma principal que motivó a buscar atención médica en una paciente con ascitis abdominal secundaria a preeclampsia con criterios de severidad. Se realiza una revisión de la fisiopatogenia de la ascitis durante la gestación y su posible relación con el desarrollo de disfagia.  Caso clínico:  mujer de 29 años y 36 semanas de gestación con diagnóstico previo de una semana de preeclampsia con criterios de severidad en seguimiento por consulta externa. Ingresa por disfagia a sólidos y líquidos. Se realizó interrupción quirúrgica del embarazo, reportándose 800 cm3 de líquido de ascitis como hallazgo. La disfagia se resolvió pocas horas tras el acto quirúrgico.  Conclusiones:  la atención de pacientes obstétricas con preeclampsia debe ser minuciosa. Los médicos a cargo de estas pacientes deben conocer las manifestaciones infrecuentes de esta enfermedad (como el posible desarrollo de ascitis) para lograr un diagnóstico y tratamiento oportunos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction: preeclampsia is one of the most important causes of mortality and morbidity in Mexico. Their clinical features are diverse and some are infrequent, for example, ascites development. When ascites occurs, it might cause adverse outcomes in pregnancy. Dysphagia due to ascites in preeclampsia has been seldom described.  Objective:  to report a case of dysphagia as the main symptom that led to seek medical assistance in a patient with abdominal ascites due to preeclampsia with severe features. We performed a review of the pathogenesis of ascites during pregnancy and the possible relation with dysphagia.  Clinical case: 29 years old female with 36 weeks of pregnancy, diagnosed one week before with preeclampsia with severe features, followed in outer consultation, admitted to hospitalization for dysphagia. Pregnancy was resolved surgically, 800 cm3 of ascites were reported. Dysphagia resolved few hours after surgical delivery.  Conclusions:  the surveillance of obstetric patients with preeclampsia must be very meticulous. Physicians in charge of these patients must know uncommon features of this disease (such as ascites development) in order to achieve an opportune diagnosis and treatment.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  a pré-eclâmpsia é uma das principais causas de mortalidade e morbidade materna no México. Suas características clínicas são diversas, sendo algumas infrequentes, entre elas o desenvolvimento de ascite. Quando ocorre, pode ter impacto negativo na evolução clínica e no prognóstico da gravidez. A disfagia secundária à ascite na pré- eclâmpsia tem sido descrita com pouca frequência na literatura.  Objetivo:  documentar um caso de disfagia como principal sintoma que motivou a procura de atendimento médico em uma paciente com ascite abdominal secundária à pré-eclâmpsia com critérios de gravidade. Realiza- se uma revisão da fisiopatogenia da ascite na gravidez e sua possível relação com o desenvolvimento da disfagia.  Caso clínico:  mulher de 29 anos com 36 semanas de gestação com diagnóstico prévio de uma semana de pré-eclâmpsia com critérios de gravidade em acompanhamento ambulatorial. Internada por disfagia para sólidos e líquidos. Foi realizada interrupção cirúrgica da gravidez, relatando 800 cm3 de líquido ascítico como achado. A disfagia resolveu algumas horas após a cirurgia.  Conclusões:  o cuidado de pacientes obstétricas com pré-eclâmpsia deve ser meticuloso. Os médicos responsáveis por esses pacientes devem estar cientes das manifestações pouco frequentes dessa doença (como o possível desenvolvimento de ascite) para obter um diagnóstico e tratamentos oportunos.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[disfagia]]></kwd>
<kwd lng="es"><![CDATA[ascitis]]></kwd>
<kwd lng="es"><![CDATA[preeclampsia]]></kwd>
<kwd lng="en"><![CDATA[dysphagia]]></kwd>
<kwd lng="en"><![CDATA[ascites]]></kwd>
<kwd lng="en"><![CDATA[preeclampsia]]></kwd>
<kwd lng="pt"><![CDATA[disfagia]]></kwd>
<kwd lng="pt"><![CDATA[ascite]]></kwd>
<kwd lng="pt"><![CDATA[pré-eclâmpsia]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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