<?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>S1405-00992021000200141</article-id>
<article-id pub-id-type="doi">10.35366/106727</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Manejo emergente de hepatocarcinoma accidentado]]></article-title>
<article-title xml:lang="en"><![CDATA[Emergent managment of ruptured hepatocellular carcinoma]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Viteri Cevallos]]></surname>
<given-names><![CDATA[Diego Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Delgado]]></surname>
<given-names><![CDATA[Jhony A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz]]></surname>
<given-names><![CDATA[Diego A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Latta]]></surname>
<given-names><![CDATA[Johana P]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gordillo]]></surname>
<given-names><![CDATA[Alberto C]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Quito No. 1 de la Policía Nacional  ]]></institution>
<addr-line><![CDATA[Quito ]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Pontificia Universidad Católica del Ecuador Hospital Quito No. 1 de la Policía Nacional ]]></institution>
<addr-line><![CDATA[Quito ]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Quito No. 1 de la Policía Nacional  ]]></institution>
<addr-line><![CDATA[Quito ]]></addr-line>
<country>Ecuador</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>141</fpage>
<lpage>145</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992021000200141&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992021000200141&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992021000200141&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: En el presente manuscrito se relata el caso de paciente masculino de 84 años, que acude a urgencias con abdomen agudo, se realiza una tomografía simple y contrastada de abdomen y pelvis, se observa líquido libre en la cavidad y signos de cirrosis hepática, por lo que se decide su ingreso. Posteriormente el paciente muestra signos de choque hipovolémico, por lo cual se decide intervención quirúrgica emergente, se realiza laparoscopia diagnóstica y laparotomía, se describe hemoperitoneo de 2,000 ml aproximadamente y un tumor hepático accidentado en el segmento II, para lo cual, se decide efectuar una segmentectomía hepática y drenaje del hemoperitoneo; el resultado del histopatológico reporta carcinoma hepatocelular que invade la cápsula, con bordes libres. Se presenta este caso debido a que su tratamiento fue adecuado en relación con los estudios realizados previamente, que demuestran que la diseminación del cáncer en la cavidad peritoneal disminuye con el drenaje rápido del hemoperitoneo y las ventajas descritas con la resección del hepatocarcinoma en el primer tiempo quirúrgico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: In this manuscript, the case of an 84-year-old male patient is described, this person comes to the emergency room with an acute abdomen, a simple and contrasted tomography of the abdomen and pelvis is carried out, it was observed free fluid in the cavity and signs of liver cirrhosis. Thus, his admission to the hospital is suggested. Later, the patient shows signs of hypovolemic shock, for which an emergent surgical intervention is decided, a diagnostic laparoscopy and laparotomy were performed, hemoperitoneum of approximately 2,000 ml and an uneven liver tumor in segment II are described, for which it is decided to carry out a hepatic segmentectomy and drainage of the hemoperitoneum; the histopathological result reports hepatocellular carcinoma that invades the capsule, with free borders. This case is presented because its treatment was adequate in relation to previous studies, which show that the dissemination of cancer in the peritoneal cavity decreases with rapid drainage of the hemoperitoneum and the advantages described with resection of hepatocarcinoma in the first stage surgical.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Hígado]]></kwd>
<kwd lng="es"><![CDATA[hepatocarcinoma]]></kwd>
<kwd lng="es"><![CDATA[resección tumoral]]></kwd>
<kwd lng="es"><![CDATA[embolización arterial transcatéter]]></kwd>
<kwd lng="en"><![CDATA[Liver]]></kwd>
<kwd lng="en"><![CDATA[hepatocellular carcinoma]]></kwd>
<kwd lng="en"><![CDATA[tumor resection]]></kwd>
<kwd lng="en"><![CDATA[transcatheter arterial embolization]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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