<?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>2448-8909</journal-id>
<journal-title><![CDATA[Medicina crítica (Colegio Mexicano de Medicina Crítica)]]></journal-title>
<abbrev-journal-title><![CDATA[Med. crít. (Col. Mex. Med. Crít.)]]></abbrev-journal-title>
<issn>2448-8909</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Medicina Crítica A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2448-89092024000400320</article-id>
<article-id pub-id-type="doi">10.35366/118226</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Gastritis enfisematosa: enfermedad rara y letal. Reporte de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Emphisematous gastritis: rare and lethal disease. Report of a case]]></article-title>
<article-title xml:lang="pt"><![CDATA[Gastrite enfisematosa: doença rara e letal. Relato de um caso]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales Ramírez]]></surname>
<given-names><![CDATA[Jonathan David]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Velázquez Crespo]]></surname>
<given-names><![CDATA[Abraham]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Martínez]]></surname>
<given-names><![CDATA[Karen Itzel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alonso Martínez]]></surname>
<given-names><![CDATA[Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Secretaría de Marina Centro Médico Naval ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<volume>38</volume>
<numero>4</numero>
<fpage>320</fpage>
<lpage>322</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-89092024000400320&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-89092024000400320&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-89092024000400320&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: La gastritis enfisematosa es una afección infrecuente y potencialmente mortal; se han reportado 59 casos en la literatura y no existen guías para el tratamiento de esta entidad. La gastritis enfisematosa es una forma grave de gastritis y tiene un mal pronóstico; es por ello que el diagnóstico y tratamiento oportuno son imprescindibles para llevar a la recuperación del paciente. Se reporta una mortalidad aproximada de 60 a 80%. Es importante realizar un adecuado diagnóstico, que permita la instauración de un tratamiento temprano y la mejoría del pronóstico. Se presenta el caso de un paciente masculino de 54 años que acude por presentar datos clínicos de abdomen agudo caracterizado por dolor abdominal, náusea, vómito y evacuaciones melénicas, así como datos de choque hipovolémico, acidosis metabólica e hiperlactatemia. Se realiza tomografía abdominal con contraste oral en la cual se evidencia la presencia de gastritis enfisematosa. Se inicia reanimación con líquidos, antibioticoterapia, con lo que el paciente presenta evolución favorable, con corrección de las fallas orgánicas de su ingreso. Durante su estancia, presenta panel gastrointestinal con E. coli enteroagregativa, enteropatogénica y enterotoxigénica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Emphysematous gastritis is a rare and potentially fatal condition; only 59 cases have been reported in the literature and there are no guidelines for the treatment of this entity. Emphysematous gastritis is a severe form of gastritis and has a poor prognosis, which is why timely diagnosis and treatment are essential to lead to the patient&#8217;s recovery. An approximate mortality of 60 to 80% is reported. It is important to carry out adequate treatment, which allows the establishment of early treatment and improvement of the prognosis. A case is presented of a 54-year-old male patient who comes with clinical data of acute abdomen characterized by abdominal pain, nausea, vomiting and melenic evacuations, as well as data of hypovolemic shock, metabolic acidosis and hyperlactatemia. An abdominal tomography with oral contrast was performed, which showed the presence of emphysematous gastritis. Fluid resuscitation and antibiotic therapy were initiated, with the patient presenting a favorable evolution, with correction of the organ failures from his admission. During his stay, he presented a gastrointestinal panel with enteroaggregative, enteropathogenic and enterotoxigenic E. coli.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: A gastrite enfisematosa é uma condição rara e potencialmente fatal; 59 casos foram relatados na literatura e não há diretrizes para o tratamento desta entidad A gastrite enfisematosa é uma forma grave de gastrite e tem mau prognóstico, razão pela qual o diagnóstico e o tratamento oportunos são essenciais para levar à recuperação do paciente. A mortalidade relatada se aproximada de 60 a 80%. É importante realizar um tratamento adequado, que permita estabelecer tratamento precoce e melhorar o prognóstico. É apresentado o caso de um paciente do sexo masculino, 54 anos, que apresenta dados clínicos de abdome agudo caracterizado por dor abdominal, náuseas, vômitos e evacuações melênicas, além de dados de choque hipovolêmico, acidose metabólica e hiperlactatemia. Foi realizada tomografia abdominal com contraste oral, que evidenciou presença de gastrite enfisematosa. Foram iniciadas reposição volêmica e antibioticoterapia, apresentando o paciente evolução favorável, com correção das falências orgânicas desde sua admissão. Durante a estadia apresentou quadro gastrointestinal com E. coli enteroagregativa, enteropatogênica e enterotoxigênica.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[gastritis enfisematosa]]></kwd>
<kwd lng="es"><![CDATA[choque séptico]]></kwd>
<kwd lng="es"><![CDATA[gas intraparietal]]></kwd>
<kwd lng="es"><![CDATA[gastritis]]></kwd>
<kwd lng="en"><![CDATA[emphysematous gastritis]]></kwd>
<kwd lng="en"><![CDATA[septic shock]]></kwd>
<kwd lng="en"><![CDATA[intraparietal gas]]></kwd>
<kwd lng="en"><![CDATA[gastritis]]></kwd>
<kwd lng="pt"><![CDATA[gastrite enfisematosa]]></kwd>
<kwd lng="pt"><![CDATA[choque séptico]]></kwd>
<kwd lng="pt"><![CDATA[gas intraparietal]]></kwd>
<kwd lng="pt"><![CDATA[gastrite]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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