<?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>S1405-00992018000200123</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Perforación gástrica intratorácica secundaria a funduplicatura laparoscópica: una complicación inusual. Reporte de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Intrathoracic gastric perforation secondary to laparoscopic fundoplication: an unusual complication. Report of a case]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aldama López]]></surname>
<given-names><![CDATA[Karla Erika]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez Camarena]]></surname>
<given-names><![CDATA[César Arturo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Salinas Ocampo]]></surname>
<given-names><![CDATA[Christian Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sanabria Trujillo]]></surname>
<given-names><![CDATA[Ricardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad La Salle Facultad Mexicana de Medicina Departamento de Cirugía General del Nuevo Sanatorio Durango]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<volume>40</volume>
<numero>2</numero>
<fpage>123</fpage>
<lpage>126</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992018000200123&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992018000200123&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992018000200123&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  La funduplicatura laparoscópica se ha convertido en el tratamiento quirúrgico de elección para la enfermedad por reflujo gastroesofágico por tener mínimas complicaciones, una de ellas es la perforación esofágica o gástrica; esta última es la de menor incidencia, pero la que tiene peor pronóstico. La mayoría de las perforaciones gástricas son detectadas y tratadas intraoperatoriamente y las que son detectadas en el periodo postquirúrgico son las que requieren reintervención y tienen una elevada morbimortalidad por presentar en algunos casos mediastinitis aguda; los reportes en la literatura son limitados. Además, hay pocos casos descritos de perforación con herniación simultánea.  Método:  Se presenta un caso clínico de una paciente que sufrió perforación gástrica intratorácica como complicación de una funduplicatura laparoscópica, mostrando además mediastinitis aguda. Se describe su manejo y evolución y se realiza una revisión del tema. Este caso fue manejado con reintervención quirúrgica, drenaje y colocación de sondas pleurales y pericárdicas.  Resultados:  La paciente falleció a pesar del tratamiento adecuado.  Conclusiones:  La perforación gástrica postquirúrgica por funduplicatura laparoscópica puede complicarse con mediastinitis aguda, la infección del tórax más letal. Se trata de una complicación poco frecuente, con un diagnóstico difícil por su presentación inespecífica y su diagnóstico tardío eleva su mortalidad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  Laparoscopic fundoplication has become the surgical treatment of choice for gastroesophageal reflux disease due to minimal complications, one of which is esophageal or gastric perforation, this last one has the lowest incidence, but is the one with the worst prognosis. Most gastric perforations are detected and treated intraoperatively and those detected in the postoperative period require reoperation and present a high morbidity and mortality due in some cases to the presence of acute mediastinitis, of which the reports in the literature are limited. In addition, there are few reported cases of perforation with simultaneous herniation.  Method:  A clinical case of a patient who underwent intrathoracic gastric perforation is presented as the complication of a laparoscopic fundoplication, presenting acute mediastinitis. It describes its management and evolution as well as a review of the subject. This case was managed with surgical reoperation, drainage and placement of pleural and pericardial drains.  Results:  The patient died despite adequate treatment.  Conclusions:  Postoperative gastric perforation by laparoscopic fundoplication may be complicated by acute mediastinitis, the most lethal chest infection. It is a rare complication, with a difficult diagnosis due to its non-specific presentation and its late diagnosis increases its mortality.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[funduplicatura laparoscópica]]></kwd>
<kwd lng="es"><![CDATA[perforación gástrica]]></kwd>
<kwd lng="es"><![CDATA[mediastinitis aguda]]></kwd>
<kwd lng="en"><![CDATA[Laparosopic fundoplication]]></kwd>
<kwd lng="en"><![CDATA[gastric perforation]]></kwd>
<kwd lng="en"><![CDATA[acute mediastinitis]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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