<?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>S1405-00992022000400193</article-id>
<article-id pub-id-type="doi">10.35366/109894</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Neumotórax espontáneo recidivante secundario a bulla pulmonar]]></article-title>
<article-title xml:lang="en"><![CDATA[Spontaneous pneumothorax recurrence secondary to pulmonary bulla]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales-Ortiz]]></surname>
<given-names><![CDATA[Jorge Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castillo-Villamil]]></surname>
<given-names><![CDATA[Yarine Berenive]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Muñoz-Muñoz]]></surname>
<given-names><![CDATA[Mauricio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Navarro]]></surname>
<given-names><![CDATA[Luis Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz-Mariscal]]></surname>
<given-names><![CDATA[Miguel Ángel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General &#8220;Norberto Treviño Zapata&#8221; Departamento de Cirugía General ]]></institution>
<addr-line><![CDATA[Cd. Victoria Tamaulipas]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General de Tampico &#8220;Dr. Carlos Canseco&#8221; Departamento de Pediatría ]]></institution>
<addr-line><![CDATA[Tampico Tamaulipas]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<volume>44</volume>
<numero>4</numero>
<fpage>193</fpage>
<lpage>196</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992022000400193&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992022000400193&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992022000400193&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  el neumotórax es la presencia de gas en el espacio pleural, con el colapso pulmonar consiguiente y compromiso en la mecánica ventilatoria, el neumotórax espontáneo es aquél que aparece sin un antecedente de traumatismo torácico, el diagnóstico se realiza con una radiografía simple de tórax, la tomografía es el estudio de elección para detectar bullas subpleurales.  Caso clínico:  masculino de 18 años de edad, con antecedente de lobectomía derecha a los 15 años, acude por presentar disnea en reposo y dolor pleurítico izquierdo, en la exploración con hipoventilación de hemitórax izquierdo, radiografía de tórax se observa neumotórax, recibió manejo con sello de agua con buena respuesta y fue egresado por mejoría. Un mes después acude por recivida de síntomas, se realizó tomografía axial computarizada de tórax donde se observa bulla apical izquierda.  Conclusiones:  el tratamiento consiste en la evacuación del aire del espacio pleural, se debe individualizar, teniendo en cuenta la gravedad de la situación clínica y el riesgo de recurrencias. La videotoracoscopia con bullectomía ha demostrado mejorar la disnea, el intercambio gaseoso y la función pulmonar.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  pneumothorax is the presence of gas in the pleural space, with consequent lung collapse that compromises ventilatory mechanics; a spontaneous pneumothorax is one that appears without a history of chest trauma. The diagnosis is made with simple chest radiography, although tomography is the study of choice to detect subpleural bullae.  Clinical case:  an 18-year-old male, with a history of right lobectomy at 15 years of age, presented with dyspnea at rest and left pleuritic pain, in the exploration with hypoventilation of the left hemithorax, chest radiograph, pneumothorax was observed, management was given with an endopleural tube, with adequate evolution and discharge, after one month he returned with the same symptoms, observing a recurrent pneumothorax, for which a pulmonary CT scan was requested showing a left apical bulla.  Conclusions:  treatment consists of evacuating air from the pleural space; it must be individualized, taking into account the severity of the clinical situation and the risk of recurrences. Videothoracoscopy with bullectomy has been shown to improve dyspnea, gas exchange, and lung function.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[neumotórax espontáneo]]></kwd>
<kwd lng="es"><![CDATA[videotoracoscopia]]></kwd>
<kwd lng="es"><![CDATA[bulla pulmonar]]></kwd>
<kwd lng="en"><![CDATA[spontaneous pneumothorax]]></kwd>
<kwd lng="en"><![CDATA[video-thoracoscopic surgery]]></kwd>
<kwd lng="en"><![CDATA[bullous lung]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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