<?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>S1405-00992024000200118</article-id>
<article-id pub-id-type="doi">10.35366/118281</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Adenocarcinoma de vesícula biliar y síndrome de Mirizzi]]></article-title>
<article-title xml:lang="en"><![CDATA[Gallbladder adenocarcinoma and Mirizzi syndrome]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cruz Cruz]]></surname>
<given-names><![CDATA[Gustavo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez Ordaz]]></surname>
<given-names><![CDATA[Roberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramos Montes de Oca]]></surname>
<given-names><![CDATA[Alexis Yael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General de Matamoros  ]]></institution>
<addr-line><![CDATA[ Tamaulipas]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General de Matamoros  ]]></institution>
<addr-line><![CDATA[ Tamaulipas]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital General de Matamoros  ]]></institution>
<addr-line><![CDATA[ Tamaulipas]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2024</year>
</pub-date>
<volume>46</volume>
<numero>2</numero>
<fpage>118</fpage>
<lpage>122</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992024000200118&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992024000200118&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992024000200118&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: El síndrome de Mirizzi y el cáncer de vesícula biliar son dos entidades poco frecuentes asociadas con la litiasis vesicular, existe poca evidencia acerca del aumento de riesgo de esta asociación, en todo paciente mayor con datos atípicos se debe sospechar de malignidad. El diagnóstico suele ser posoperatorio, en alrededor de 1% de los casos se realiza en el transoperatorio por el cirujano general, el cual debe conocer la actitud a tomar ante los hallazgos; diversos procedimientos como el tratamiento radical, la derivación biliodigestiva o incluso los procedimientos de fuga son opciones a considerar ante el hallazgo incidental; la referencia oportuna es la mejor opción en la mayoría de los casos. El pronóstico es malo, con supervivencia menor a 18 meses por enfermedad avanzada. Presentamos el caso de un paciente masculino de 64 años, los datos atípicos hacen sospechar malignidad, en el transoperatorio se diagnostica con síndrome de Mirizzi tipo 2, anatomía patológica reporta adenocarcinoma moderadamente diferenciado, el paciente rechaza todo tipo de tratamiento y se pierde el seguimiento. Revisamos el caso y manejo de acuerdo a la bibliografía actualizada.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Mirizzi syndrome and gallbladder cancer are two rare entities associated with gallbladder lithiasis, there is little evidence about the increased risk of this association, any older patient with atypical data should be suspected malignancy. The diagnosis is usually postoperative, approximately 1% of cases are performed in the transoperative by the general surgeon who should know the attitude to take to the findings; various procedures such as radical treatment, biliodigestive bypass or even leakage procedures are options to be considered in the face of incidental findings, timely referral is the best option in most cases. The prognosis is poor, with survival of less than 18 months due to advanced disease. We present the case of a 64-year-old male, the atypical data make us suspect malignancy, the patient is diagnosed with Mirizzi syndrome type 2 in the transoperative, pathological anatomy reports moderately differentiated adenocarcinoma, the patient refuses all types of treatment, and the follow up is lost. We reviewed the case and management according to the updated bibliography.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[colecistolitiasis]]></kwd>
<kwd lng="es"><![CDATA[cáncer de vesícula biliar]]></kwd>
<kwd lng="es"><![CDATA[síndrome de Mirizzi]]></kwd>
<kwd lng="es"><![CDATA[colangiorresonancia]]></kwd>
<kwd lng="es"><![CDATA[ultrasonido abdominal]]></kwd>
<kwd lng="es"><![CDATA[coledocolitiasis]]></kwd>
<kwd lng="en"><![CDATA[gallstone disease]]></kwd>
<kwd lng="en"><![CDATA[gallbladder cancer]]></kwd>
<kwd lng="en"><![CDATA[Mirizzi syndrome]]></kwd>
<kwd lng="en"><![CDATA[cholangiopancreatography]]></kwd>
<kwd lng="en"><![CDATA[abdominal ultrasound]]></kwd>
<kwd lng="en"><![CDATA[choledocholithiasis]]></kwd>
</kwd-group>
</article-meta>
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