<?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>S1405-00992017000300164</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Síndrome de Mirizzi coloduodenal, propuesta para incluir la variante Ia, Ib y su manejo en la nueva clasificación de Beltrán]]></article-title>
<article-title xml:lang="en"><![CDATA[Mirizzi coloduodenal syndrome, proposal for including variant Ia, Ib and its management in the new Beltrán classification]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rivera López]]></surname>
<given-names><![CDATA[Francisco Amador]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guerrero Márquez]]></surname>
<given-names><![CDATA[Gerardo Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Miñana Echávarri]]></surname>
<given-names><![CDATA[Francisco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Blancarte Linden]]></surname>
<given-names><![CDATA[Andrés Herman]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social  ]]></institution>
<addr-line><![CDATA[Torreón Coahuila]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Mexicano del Seguro Social  ]]></institution>
<addr-line><![CDATA[Torreón Coahuila]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2017</year>
</pub-date>
<volume>39</volume>
<numero>3</numero>
<fpage>164</fpage>
<lpage>170</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992017000300164&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992017000300164&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992017000300164&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción: El síndrome de Mirizzi (SM) describe la obstrucción mecánica del conducto hepático común ocasionada por una compresión extrínseca (con o sin una fístula asociada). Ocurre aproximadamente entre 0.2 y 1.5% de los pacientes con litiasis vesicular. La inflamación continua de la vesícula biliar puede evolucionar a una compresión y fusión de vísceras como colon y duodeno. Los pacientes tienen una larga historia de litiasis vesicular y los síntomas que presentan son inespecíficos. Las metas del tratamiento son descomprimir la vía biliar mediante cualquier método y prevenir la recurrencia. El tratamiento quirúrgico se basa en la clasificación de Beltrán y en los principios de Culture of Safety in Cholecistectomy (COSIC).  Reporte de caso:  Se presenta el caso de una paciente programada para colecistectomía laparoscópica por colelitiasis, pero se decidió conversión a cirugía abierta debido a la importante fusión biliar inflamatoria hacia colon y duodeno y a la mala identificación de estructuras sin poder lograr la visión crítica de seguridad. Fue manejada mediante sonda de colecistostomía para posteriormente planear el tratamiento quirúrgico definitivo.  Conclusión:  El caso presentado con compresión de la vesícula biliar y fusión biliar inflamatoria a colon, duodeno y vías biliares es una variante del SM que no está descrita por la baja frecuencia de su presentación, por lo que proponemos que se incluyan el tipo Ia y el Ib del SM en la clasificación de Beltrán para disminuir el riesgo de lesión vasculobiliar e intestinal mediante los principios de COSIC, con recomendación de colecistostomía como tratamiento quirúrgico para el SM tipo Ib.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  The Mirizzi syndrome (SM) is used to describe the mechanical obstruction of the common hepatic duct due to extrinsic compression (with or without associated fistula). It occurs in approximately 0.2 to 1.5% of patients with cholelithiasis. The continued inflammation of the gallbladder can evolve into a compression and fusion to adjacent viscera like colon and duodenum. Patients have a long history of gallstone disease and symptoms that are nonspecific. The goals of treatment are to decompress the bile duct and prevent recurrence. Surgical treatment is based on the classification of Beltran and Culture of Safety in Cholecistectomy (COSIC) principles.  Case report:  We present the case of a patient scheduled for laparoscopic cholecystectomy for cholelithiasis, where conversion to open by the major bile inflammatory fusion to colon and duodenun and misidentification of structures, managed with a cholecystostomy tube, in order to, later planning definitive surgical treatment.  Conclusion:  The case presented with compression of the gallbladder and inflammatory biliary fusion colon duodenum and bile ducts is a variant of SM that is not described by the rarity of presentation we propose to add to the classification of Beltran SM type Ia and Ib to reduce the risk of vasculobiliar and intestinal by principles of COSIC we recommending colcistostomy as surgical treatment for type Ib SM.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Síndrome de Mirizzi]]></kwd>
<kwd lng="es"><![CDATA[fístula biliar]]></kwd>
<kwd lng="es"><![CDATA[fístula bilioentérica]]></kwd>
<kwd lng="en"><![CDATA[Mirizzi syndrome]]></kwd>
<kwd lng="en"><![CDATA[biliary fistula]]></kwd>
<kwd lng="en"><![CDATA[biliary-enteric fistula]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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