<?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>S1405-00992016000100019</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Ruptura hepática asociada con síndrome HELLP: una urgencia quirúrgica]]></article-title>
<article-title xml:lang="en"><![CDATA[Hepatic rupture associated with HELLP syndrome: a surgical emergency]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández Higareda]]></surname>
<given-names><![CDATA[Salvador]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ruvalcaba Ramírez]]></surname>
<given-names><![CDATA[Miguel Ángel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Muñoz Navarro]]></surname>
<given-names><![CDATA[Ismael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Flores Cruz]]></surname>
<given-names><![CDATA[Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez Ávila]]></surname>
<given-names><![CDATA[Carlos Eduardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Centro Médico Nacional Hospital de Gineco-Obstetricia]]></institution>
<addr-line><![CDATA[Guadalajara Jalisco]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2016</year>
</pub-date>
<volume>38</volume>
<numero>1</numero>
<fpage>19</fpage>
<lpage>21</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992016000100019&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992016000100019&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992016000100019&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Se presenta el caso de una emergencia quirúrgica grave con alto riesgo de muerte materna en el que se logró obtener un resultado satisfactorio; se requirió de manejo oportuno y multidisciplinario para lograrlo. Esto es muy importante, ya que en México la preeclampsia-eclampsia es frecuente. Se trata de una paciente de 29 años de edad, secundigesta, a la que se le realiza operación cesárea en un hospital de segundo nivel por presentar preeclampsia con datos de severidad y síndrome HELLP; en la cirugía se encuentra ruptura hepática que comprende tres segmentos: el IV, VI y VII, con disrupción del parénquima hepático en un 75%. Se hace la primera cirugía y es enviada a un centro médico de tercer nivel de atención donde se llevan a cabo dos operaciones más. La paciente es dada de alta para seguirla valorando en consulta posteriormente.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: A case is presented of a serious surgical emergency with a high risk of death for the mother, in which we managed to obtain a satisfactory result, for which a timely and multidisciplinary approach was required. This is very important because in Mexico preeclampsia-eclampsia is common. This case is about a female 29-year-old patient having her second child, to whom a caesarean section was performed in a second level hospital for presenting preeclampsia with severity data and HELLP syndrome. During surgery, we observed hepatic rupture comprising three segments (IV, VI, and VII) with disruption of the liver parenchyma by 75%. A first surgery was performed and she was sent to a tertiary care medical center where two more operations were performed and the patient was discharged to be followed later in consultation.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Síndrome HELLP]]></kwd>
<kwd lng="es"><![CDATA[ruptura hepática asociada con embarazo]]></kwd>
<kwd lng="en"><![CDATA[HELLP syndrome]]></kwd>
<kwd lng="en"><![CDATA[hepatic rupture associated with pregnancy]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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</article>
