<?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>S1405-00992023000200106</article-id>
<article-id pub-id-type="doi">10.35366/111512</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Absceso renal con fístula a bazo]]></article-title>
<article-title xml:lang="en"><![CDATA[Renal abscess with a fistula to spleen]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Meza Jasso]]></surname>
<given-names><![CDATA[Manuel Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Serrano Collazos]]></surname>
<given-names><![CDATA[Stephanie]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Reyes Aranda]]></surname>
<given-names><![CDATA[Andrés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital General de Zona No. 3 San Juan del Río Servicio de Cirugía General]]></institution>
<addr-line><![CDATA[Querétaro ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital General de Zona No. 3 San Juan del Río ]]></institution>
<addr-line><![CDATA[Querétaro ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital General de Zona No. 3 San Juan del Río ]]></institution>
<addr-line><![CDATA[Querétaro ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<volume>45</volume>
<numero>2</numero>
<fpage>106</fpage>
<lpage>110</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992023000200106&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992023000200106&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992023000200106&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Los abscesos renales son una acumulación de pus en el parénquima renal, son raros y potencialmente mortales, relacionados a factores de riesgo y comorbilidades principalmente a litiasis renal, diabetes mellitus, alteraciones anatómicas urinarias, pielonefritis complicadas, entre otros factores; con aislamiento bacteriológico principalmente de Escherichia coli, además de otras bacterias como Staphylococcus aureus y Klebsiella pneumoniae. Representan 0.2% de todos los abscesos intraabdominales y 10% de los abscesos renales se complican con ruptura espontánea, sepsis y choque como consecuencias más graves, tienen una incidencia de dos a cuatro casos por cada 10,000 personas al año, tienen una presentación clínica muy vaga y que generalmente la sospecha diagnóstica se retrasa, por lo que es común sean descubiertos cuando ya presentan un avance significativo de su patogenia, siendo necesario manejo más intensivo. Se presenta el caso de una paciente joven, sana y sin otros factores de riesgo como malformaciones o comorbilidades, que presentó un absceso renal secundario a pielonefritis complicándose inusualmente con fistulización hacia bazo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Renal abscesses are an accumulation of pus in the renal parenchyma, they are rare and life-threatening, related to multiple risk factors and comorbidities, mainly kidney stones, diabetes mellitus, urinary anatomical alterations, complicated pyelonephritis, among other factors; with bacteriological isolation mainly of Escherichia coli, in addition to other bacteria such as Staphylococcus aureus and Klebsiella pneumoniae. The renal abscesses represent 0.2% of all intra-abdominal abscesses and 10% of them complicated with a spontaneous rupture, sepsis and shock as more serious and mortal consequences, it has an incidence of two to four cases per 10,000 people per year, they have a clinical presentation very vague and that diagnostic suspicion is generally delayed, so it is common for them to be discovered when they already present a significant advance in their pathogenesis, requiring more intensive management. We present the case of a younger person, healthy patient with no other risk factors such as malformations or comorbidities, who presented a renal abscess secondary to pyelonephritis, unusually complicated by fistulization to the spleen.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[absceso renal]]></kwd>
<kwd lng="es"><![CDATA[fístula]]></kwd>
<kwd lng="es"><![CDATA[pielonefritis]]></kwd>
<kwd lng="es"><![CDATA[bazo]]></kwd>
<kwd lng="en"><![CDATA[kidney abscess]]></kwd>
<kwd lng="en"><![CDATA[fistula]]></kwd>
<kwd lng="en"><![CDATA[pyelonephritis]]></kwd>
<kwd lng="en"><![CDATA[spleen]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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