<?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>S1405-00992021000400251</article-id>
<article-id pub-id-type="doi">10.35366/109129</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Fístula colecistobiliar y colecistoentérica con abscesos hepáticos piógenos, una rara coexistencia. Informe de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[A rare coexistence of cholecystobiliary and cholecistoenteric fistula with pyogenic abscesses. Report of a case]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Benítez Beltrán]]></surname>
<given-names><![CDATA[Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández Marcelo]]></surname>
<given-names><![CDATA[Gustavo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guzmán Arguello]]></surname>
<given-names><![CDATA[Gloria María]]></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 Regional &#8220;Lic. Adolfo López Mateos&#8221; Servicio de Cirugía General]]></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 Regional &#8220;Lic. Adolfo López Mateos&#8221; Servicio de Cirugía General]]></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 Regional &#8220;Lic. Adolfo López Mateos&#8221; Servicio de Cirugía General]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>43</volume>
<numero>4</numero>
<fpage>251</fpage>
<lpage>258</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992021000400251&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992021000400251&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992021000400251&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: En octubre de 2019 atendimos la rara asociación de abscesos hepáticos piógenos con síndrome de Mirizzi tipo V en una paciente de 49 años con dolor abdominal y síndrome ictérico. Se le detectó mediante estudios clínicos de laboratorio, endoscópico y radiológico, una obstrucción biliar secundaria a lito de 2 cm en el hepático común, neumobilia, fiebre, leucocitosis y una severa respuesta inflamatoria sistémica, lo cual requirió cirugía. Durante la intervención se tuvieron hallazgos de vesícula escleroatrófica, fístulas dobles al hepático común y duodeno. El caso fue solucionado con colecistectomía, cierre de fístula colecistoduodenal y derivación biliodigestiva hepático-yeyuno con técnica de Hepp. Los abscesos del lóbulo derecho del hígado fueron documentados y drenados por radiología intervencionista guiada por ultrasonido y tomografía computarizada. Se requirió de cuidados intensivos, antibióticos y nutrición parenteral total, permaneciendo 50 días en dos hospitales y egresada a consulta externa para seguimiento mediante ultrasonido de los abscesos y continuación de antibióticos de acuerdo a los cultivos. No se reportó malignidad en la vesícula biliar escleroatrófica.  Conclusión:  el síndrome de Mirizzi se clasifica en cinco tipos de acuerdo a Csendes y Beltrán, el tipo V es el menos común y se divide en Va y Vb dependiendo de la presencia o no de algún tipo de fístula colecistoentérica con o sin íleo biliar, respectivamente. Proponemos agregar una clasificación Vc cuando además de lo anterior, exista afección hepática por abscesos u otra patología asociada en el hígado, ya que la obstrucción y colangitis que provoca esta enfermedad es la responsable de este cuadro específico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: In October of 2019 we treated a rare combination of pyogenic liver abscess and Mirizzi syndrome (MS) type V in a 49 years-old female patient with abdominal pain and jaundice. We detected through laboratory, endoscopic and radiologic studies, a biliary obstruction due to a 2 cm biliary gallstone located in the common hepatic duct, pneumobilia, fever, leukocytosis and a severe inflammatory response, hence, surgery was required. During the intervention we found a scleroatrophic gallbladder, double fistulae to common hepatic duct and the duodenum. The case was solved with a cholecystectomy, closure of cholecistoduodenal fistulae, and a biliodigestive derivation with a yeyunal-hepatic anastomoses with Hepp technique. The right lobe liver abscesses were documented and drained by interventional radiology under ultrasound and CT guidance. Our patient required intensive care, antibiotics and total parenteral nutrition. She remained for 50 days in two hospitals and was discharged to outpatient care to continue observation of the liver abscesses with ultrasound and continued with antibiotics according to the results of the bacterial culture. Negative malignancy was reported for the scleroatrophic gallbladder.  Conclusion:  the Mirizzi syndrome, is classified in five types according to Csendes and Beltrán, type V is the less common and it is divided in Va and Vb, depending on the presence of any type of colecyto-enteric fistulae with or without gallstone ileus, respectively. We propose the addition of a Vc classification when additionally to the case described before, evidence of liver abscess or another associated liver pathology is found, since the obstruction and cholangitis are consequence of this specific case.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[síndrome de Mirizzi]]></kwd>
<kwd lng="es"><![CDATA[absceso hepático piógeno]]></kwd>
<kwd lng="es"><![CDATA[fístulas colecistobiliares]]></kwd>
<kwd lng="es"><![CDATA[fístulas colecistoentéricas]]></kwd>
<kwd lng="en"><![CDATA[Mirizzi syndrome]]></kwd>
<kwd lng="en"><![CDATA[pyogenic liver abscess]]></kwd>
<kwd lng="en"><![CDATA[cholecystobiliary fistulas]]></kwd>
<kwd lng="en"><![CDATA[cholecystoenteric fistulas]]></kwd>
</kwd-group>
</article-meta>
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<given-names><![CDATA[RY]]></given-names>
</name>
<name>
<surname><![CDATA[You]]></surname>
<given-names><![CDATA[HY]]></given-names>
</name>
<name>
<surname><![CDATA[Zheng]]></surname>
<given-names><![CDATA[XF]]></given-names>
</name>
<name>
<surname><![CDATA[Jiang]]></surname>
<given-names><![CDATA[FZ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Comparison of laparoscopic and open surgery for pyogenic liver abscess with biliary pathology]]></article-title>
<source><![CDATA[World J Gastroenterol]]></source>
<year>2011</year>
<volume>17</volume>
<page-range>4339-43</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
