<?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>S1405-00992016000400207</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Vesícula biliar retrohepática hipotrófica, intrahepática, hepático derecho accesorio aberrante. Reporte de caso y revisión de la literatura]]></article-title>
<article-title xml:lang="en"><![CDATA[Hypotrophic, retrohepatic and intrahepatic gallbladder with aberrant right hepatic duct. A case report and literature review]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bizueto-Rosas]]></surname>
<given-names><![CDATA[Héctor]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Altamirano]]></surname>
<given-names><![CDATA[Iván]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez-Reyna]]></surname>
<given-names><![CDATA[Juan de Dios]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Romero-López]]></surname>
<given-names><![CDATA[Marco Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cruz-Sánchez]]></surname>
<given-names><![CDATA[Norma]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Oropeza-Adame]]></surname>
<given-names><![CDATA[Daniela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado Hospital General &#8220;Dr. Darío Fernández Fierro&#8221; ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado Hospital General &#8220;Dr. Darío Fernández Fierro&#8221; ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado Hospital General &#8220;Dr. Darío Fernández Fierro&#8221; ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado Hospital General &#8220;Dr. Darío Fernández Fierro&#8221; ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2016</year>
</pub-date>
<volume>38</volume>
<numero>4</numero>
<fpage>207</fpage>
<lpage>212</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992016000400207&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992016000400207&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992016000400207&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: La formación embriológica compleja de la vesícula y árbol biliar es la responsable de las frecuentes variantes anatómicas en más de 50% de los casos, de las cuales en su mayoría no ocasionan patología alguna. De las variantes anatómicas, las anomalías de los conductos derechos son las que se presentan con mayor frecuencia respecto a las vías biliares. Los divertículos vesiculares y la desembocadura en la vesícula biliar de un conducto hepático derecho accesorio son subtipos bastante raros. Presentamos el caso de un paciente masculino de 42 años con múltiples episodios de cólico biliar; en el último se intervino de urgencia y se documentaron estas variantes anatómicas poco frecuentes, como hallazgo incidental. Posteriormente se realizó colangiopancreatografía transduodenal retrógrada endoscópica que demostró integridad de la vía biliar y ausencia de litiasis residual. Por lo anterior concluimos que la colangiografía intraoperatoria debería realizarse de rutina, tanto para descartar litiasis coledociana como para detectar variantes anatómicas, pues de su detección depende el pronóstico transoperatorio, postoperatorio y la vida del paciente. Presentamos una revisión de la literatura sobre estas anomalías.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: The embryological complexity in the formation of the gallbladder and biliary tract are responsible for the frequent anatomical variants in more than 50% of the cases, the majority of which do not cause any pathology. In the anatomical variants, abnormalities in the right duct are the most frequent regarding biliary tract. The gallbladder diverticulum and accessory right hepatic duct entering the gallbladder are quite rare. We present the case of a male patient of 42 years with multiple episodes of biliary pain; in the last episode required urgent surgery and those anatomical variants were observed. Later on, an endoscopic retrograde transduodenal cholangiopancreatography demonstrated the integrity of the bile duct and absence of residual lithiasis. Therefore, we conclude that the intra-operative cholangiography should be routine for both discard lithiasis as to detect anatomical variations, because recognition of those impacts prognosis in the transoperative period, postoperative and the patient&#8217;s life. We present a review of the literature about these anomalies.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Vías biliares]]></kwd>
<kwd lng="es"><![CDATA[variantes anatómicas]]></kwd>
<kwd lng="es"><![CDATA[hepático derecho accesorio]]></kwd>
<kwd lng="es"><![CDATA[cirugía]]></kwd>
<kwd lng="en"><![CDATA[Biliary tract]]></kwd>
<kwd lng="en"><![CDATA[anatomical variants]]></kwd>
<kwd lng="en"><![CDATA[accessory hepatic right duct]]></kwd>
<kwd lng="en"><![CDATA[surgery]]></kwd>
</kwd-group>
</article-meta>
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