<?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>1870-7203</journal-id>
<journal-title><![CDATA[Acta médica Grupo Ángeles]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. Grupo Ángeles]]></abbrev-journal-title>
<issn>1870-7203</issn>
<publisher>
<publisher-name><![CDATA[Grupo Ángeles, Servicios de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1870-72032019000200141</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Protrusión de órganos abdominales en ruptura diafragmática traumática]]></article-title>
<article-title xml:lang="en"><![CDATA[Protrusion of abdominal organs in traumatic diaphragmatic rupture]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Domínguez González]]></surname>
<given-names><![CDATA[Brian]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Diéguez Campa]]></surname>
<given-names><![CDATA[Carlos Eduardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alfaro Ávila]]></surname>
<given-names><![CDATA[Miguel Ángel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General de Ciudad Juárez Servicio de Cirugía General y Laparoscopia ]]></institution>
<addr-line><![CDATA[Chihuahua ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Autónoma de Ciudad Juárez Instituto de Ciencias Biomédicas ]]></institution>
<addr-line><![CDATA[Chihuahua ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>17</volume>
<numero>2</numero>
<fpage>141</fpage>
<lpage>144</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1870-72032019000200141&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1870-72032019000200141&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1870-72032019000200141&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: El diafragma es un tabique que separa el tórax del abdomen y su función fisiológica es ayudar a la mecánica de la ventilación. El trauma cerrado de abdomen es una patología muy frecuente, que es principalmente causado por accidentes automovilísticos, en los que de manera atípica (&lt; 5%) se puede lesionar el diafragma. Paciente femenino de 26 años ingresa al Departamento de Urgencias tras sufrir un accidente automovilístico. La exploración física reveló dolor abdominal, datos de irritación peritoneal, y peristalsis en hemitórax izquierdo durante la auscultación. En la radiografía de tórax y tomografía helicoidal multicorte se encuentra ocupación total de hemitórax izquierdo, por lo que se decide practicar laparotomía exploradora bajo diagnóstico preoperatorio de trauma toracoabdominal cerrado con ruptura diafragmática, confirmado durante la cirugía. La ruptura diafragmática representa un reto diagnóstico, a pesar de ser poco frecuente, debe sospecharse en todo paciente politraumatizado y con trauma toracoabdominal cerrado o abierto ante una sintomatología inespecífica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: The diaphragm is a septum that separates the thorax from the abdomen and its physiological function is to help the mechanics of ventilation. Closed abdominal trauma is a very frequent pathology, being mainly caused by automobile accidents, where the diaphragm can be injured in an atypical way (&lt; 5%). A 26-year-old female enters the emergency department after having suffered a car accident. Physical examination revealed abdominal pain, peritoneal irritation, and peristalsis in the left hemithorax during auscultation. Chest x-ray and multislice helical tomography showed a total occupation of left hemithorax, so it was decided to perform exploratory laparotomy under preoperative diagnosis of closed thoracoabdominal trauma with diaphragmatic rupture, confirmed during surgery. The diaphragmatic rupture represents a diagnostic challenge, although it is rare, it should be suspected in all patients with polytraumatism and closed or open thoracoabdominal trauma in presence of nonspecific symptoms.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Ruptura traumática del diafragma]]></kwd>
<kwd lng="es"><![CDATA[traumatismo toracoabdominal]]></kwd>
<kwd lng="es"><![CDATA[politraumatismo]]></kwd>
<kwd lng="en"><![CDATA[Traumatic rupture of the diaphragm]]></kwd>
<kwd lng="en"><![CDATA[thoracoabdominal traumatism]]></kwd>
<kwd lng="en"><![CDATA[polytraumatism]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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