<?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>S1405-00992021000200119</article-id>
<article-id pub-id-type="doi">10.35366/106723</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Aneurisma esplénico. Revisión de la literatura]]></article-title>
<article-title xml:lang="en"><![CDATA[Splenic artery aneurysm. Review]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Contreras Rojas]]></surname>
<given-names><![CDATA[Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fuentes Reyes]]></surname>
<given-names><![CDATA[Rodolfo Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Maldonado García]]></surname>
<given-names><![CDATA[Edwin Leopoldo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ríos Ávila]]></surname>
<given-names><![CDATA[Hazael De los]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Unidad Médica de Alta Especialidad No. 25 ]]></institution>
<addr-line><![CDATA[Monterrey Nuevo León]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Unidad Médica de Alta Especialidad No. 25 ]]></institution>
<addr-line><![CDATA[Monterrey Nuevo León]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Unidad Médica de Alta Especialidad No. 25 ]]></institution>
<addr-line><![CDATA[Monterrey Nuevo León]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<volume>43</volume>
<numero>2</numero>
<fpage>119</fpage>
<lpage>124</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992021000200119&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992021000200119&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992021000200119&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  El aneurisma de la arteria esplénica es una dilatación anormal mayor de 1 cm de diámetro, es el tercer aneurisma intraabdominal más común y el aneurisma visceral más frecuente.  Caso clínico:  Femenino de 41 años, posterior a accidente automovilístico presenta dolor progresivo en hipocondrio izquierdo; el ultrasonido reporta aneurisma de arteria esplénica y colelitiasis, la angiotomografía confirma aneurisma de arteria esplénica. Se realiza embolización selectiva y colocación de coils, presentando nuevamente dolor abdominal y leucocitosis, nueva angiotomografía con oclusión de arteria esplénica e infarto esplénico, por lo que ameritó la realización de esplenectomía y colecistectomía abierta.  Discusión:  El 95% de los aneurismas son asintomáticos, el resto pueden presentar dolor en epigastrio y/o hipocondrio izquierdo. Generalmente, son hallazgos incidentales en radiografías, ultrasonidos o tomografías abdominales. Se debe considerar intervención en ciertos casos, siendo el tratamiento de elección la embolización o aplicación de stent por abordaje endovascular. La cirugía convencional se reserva para aneurismas complicados o en caso de ruptura.  Conclusión:  Actualmente, el tratamiento de elección de los aneurismas esplénicos es el abordaje endovascular. Se presenta un aneurisma a nivel de hilio esplénico que recibió tratamiento endovascular, el cual condicionó infarto esplénico, por lo que ameritó esplenectomía convencional.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  Splenic artery aneurysm consists of an abnormal dilation greater than 1 cm in diameter. Is the third most common intra-abdominal aneurysm and the most frequent visceral artery aneurysm.  Clinical case:  41-year-old female who, after a motor vehicle accident, presented pain in the left hypochondrium of one year evolution; ultrasound reports splenic artery aneurysm and cholelithiasis, angiotomography confirms splenic artery aneurysm. Selective embolization and coil placement are performed, abdominal pain and leukocytosis developed and new angiotomography suggests splenic artery occlusion and splenic infarction. Splenectomy and cholecystectomy are performed.  Discussion:  Up to 95% are asymptomatic, the rest may present pain located in epigastrium or left hypochondrium. Generally is an incidental finding on abdominal radiograph, ultrasound or computed tomography. Intervention should be considered in specific cases, being embolization or stent application, by endovascular approach, the treatment of choice conventional surgery should be reserved for complicated aneurysms or in case of rupture.  Conclusion:  Formerly, the treatment of choice was conventional surgery, but at present endovascular approach is. In this case, we present an aneurysm at the level of splenic hilum, which failed to endovascular treatment, and findings of splenic infarction, so we performed splenoaneurysmectomy.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Aneurisma]]></kwd>
<kwd lng="es"><![CDATA[arteria esplénica]]></kwd>
<kwd lng="es"><![CDATA[esplenectomía]]></kwd>
<kwd lng="en"><![CDATA[Aneurysm]]></kwd>
<kwd lng="en"><![CDATA[splenic artery]]></kwd>
<kwd lng="en"><![CDATA[splenectomy]]></kwd>
</kwd-group>
</article-meta>
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