<?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>S1405-00992020000300210</article-id>
<article-id pub-id-type="doi">10.35366/99961</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Manejo conservador en un paciente con apendicitis aguda complicada]]></article-title>
<article-title xml:lang="en"><![CDATA[Conservative treatment in a patient with complicated apendicitis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Toto-Morales]]></surname>
<given-names><![CDATA[Julián Gabriel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramos-Aranda]]></surname>
<given-names><![CDATA[Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Quijano-Orvañanos]]></surname>
<given-names><![CDATA[Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Munive]]></surname>
<given-names><![CDATA[Ángel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Médico ABC  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Médico ABC  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2020</year>
</pub-date>
<volume>42</volume>
<numero>3</numero>
<fpage>210</fpage>
<lpage>214</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992020000300210&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992020000300210&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992020000300210&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen El manejo de la apendicitis aguda complicada es un reto terapéutico para todos los cirujanos por el aumento en la tasa de complicaciones debido a la friabilidad de los tejidos. En este artículo presentamos el caso de un paciente que ingresó con apendicitis aguda complicada al servicio de urgencias. Se detectaron dos abscesos intraabdominales de 88 y 125 ml en fosa iliaca derecha y en fondo de saco respectivamente. Se decidió realizar manejo conservador con punción guiada por ultrasonido y control tomográfico, además de manejo con antibióticos de amplio espectro y nutrición parenteral. El paciente evolucionó favorablemente y fue dado de alta nueve días después sin ninguna complicación. Presentamos además una revisión de la literatura actual en cuanto al manejo de apendicitis aguda complicada.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Acute appendicitis management represents a therapeutic challenge for every surgeon because of the marked increased complication rate due to tissue fragility. In this article we present the case of a patient who was admitted to the emergency room with complicated acute appendicitis. He had two intraabdominal abscesses with volumes of 88 and 125 ml in right lower quadrant and in hypogastrium. Conservative management was indicated with ultrasound-guided aspiration and drain of abscesses, broad spectrum intravenous antibiotics and parenteral feeding. The patient had a positive response to treatment and was discharged after nine days. We also present a review of the current literature regarding complicated acute appendicitis management.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Apendicitis]]></kwd>
<kwd lng="es"><![CDATA[absceso]]></kwd>
<kwd lng="es"><![CDATA[manejo conservador]]></kwd>
<kwd lng="es"><![CDATA[manejo quirúrgico]]></kwd>
<kwd lng="es"><![CDATA[punción guiada]]></kwd>
<kwd lng="es"><![CDATA[ultrasonido]]></kwd>
<kwd lng="en"><![CDATA[Appendicitis]]></kwd>
<kwd lng="en"><![CDATA[abscess]]></kwd>
<kwd lng="en"><![CDATA[non operative management]]></kwd>
<kwd lng="en"><![CDATA[operative management]]></kwd>
<kwd lng="en"><![CDATA[percutaneous drainage]]></kwd>
<kwd lng="en"><![CDATA[ultrasound]]></kwd>
</kwd-group>
</article-meta>
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