<?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>S1405-00992018000400270</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Hemotórax masivo, necrosis y perforación gástrica; complicación de hernia de Bochdalek. Reporte de un caso y revisión de la literatura]]></article-title>
<article-title xml:lang="en"><![CDATA[Massive hemothorax, necrosis and gastric perforation; complication of Bochdalek hernia. Case report and literature review]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Serna Soto]]></surname>
<given-names><![CDATA[Juan Francisco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gutiérrez Ibarra]]></surname>
<given-names><![CDATA[Estefanía]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castañeda Palafox]]></surname>
<given-names><![CDATA[Carlos David]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Secretaría de Salud Hospital General del Estado de Sonora &#8220;Dr. Ernesto Ramos Bours&#8221; Departamento de Cirugía General]]></institution>
<addr-line><![CDATA[Hermosillo Sonora]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital General de Zona No. 2 Departamento de Anestesiología]]></institution>
<addr-line><![CDATA[Hermosillo Sonora]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Secretaría de Salud Hospital General del Estado de Sonora &#8220;Dr. Ernesto Ramos Bours&#8221; Departamento de Imagenología]]></institution>
<addr-line><![CDATA[Hermosillo Sonora]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<volume>40</volume>
<numero>4</numero>
<fpage>270</fpage>
<lpage>274</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992018000400270&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992018000400270&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992018000400270&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Objetivo:  Reportar el caso clínico de un paciente que presentó necrosis y perforación gástrica debido a hernia de Bochdalek.  Caso clínico:  Masculino de 31 años, previamente sano, quien en centro de primer nivel es valorado por dificultad respiratoria súbita, la radiografía de tórax reveló datos compatibles de hemotórax, por lo que es necesaria la colocación de sello pleural y envío a tercer nivel para continuar manejo. Al momento del ingreso sin datos de inestabilidad hemodinámica, en la radiografía de tórax se observa imagen sugestiva de fondo gástrico en el interior del hemitórax izquierdo, por tal motivo se realiza tomografía computarizada (TC) que confirma el diagnóstico de hernia diafragmática. Se maneja con laparotomía de urgencia, siendo necesaria la gastrectomía total. Dos años posteriores a la cirugía el paciente se encuentra asintomático.  Conclusión: La hernia de Bochdalek es un defecto congénito de la región posterolateral del diafragma y una patología muy poco común en la edad adulta. Cuando se detecta en la mayoría de los casos es una urgencia quirúrgica que puede llevar a un desenlace fatal, por lo que a pesar de su baja incidencia debe tenerse en cuenta para evitar dichas complicaciones.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Objective:  Report a clinical case of a patient with necrosis and gastric perforation due to Bochdalek hernia.  Clinical case:  A 31-year-old male, previously healthy, whom in at first-level center was assessed for sudden respiratory distress and chest x-ray findings compatible with hemothorax, requiring the placement of a pleural seal and sending to the third-level to follow up. At the time of admission without data of hemodynamic instability, chest x-ray was evaluated and a suggestive image of gastric fundus was observed inside the left hemithorax; therefore, CT-scan was performed and the diagnosis of diaphragmatic hernia was confirmed, it was managed with emergency laparotomy, and a total gastrectomy was necessary. Two years after surgery the patient is asymptomatic.  Conclusion:  Bochdalek hernia is a congenital deffect in posterolateral diaphragmatic portion. It is a very rare disease in the adulthood. In most cases when it is found it is a surgical emergency that can lead to a fatal outcome, despite its low incidence it must be keep in mind to avoid these complications.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[hernia diafragmática]]></kwd>
<kwd lng="es"><![CDATA[hemotórax]]></kwd>
<kwd lng="es"><![CDATA[gastrectomía total]]></kwd>
<kwd lng="en"><![CDATA[Diaphragmatic hernia]]></kwd>
<kwd lng="en"><![CDATA[hemothorax]]></kwd>
<kwd lng="en"><![CDATA[total gastrectomy]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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