<?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>2444-054X</journal-id>
<journal-title><![CDATA[Cirugía y cirujanos]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. cir.]]></abbrev-journal-title>
<issn>2444-054X</issn>
<publisher>
<publisher-name><![CDATA[Academia Mexicana de Cirugía A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2444-054X2022000600838</article-id>
<article-id pub-id-type="doi">10.24875/ciru.21000614</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Acute massive gastric distention with emphysematous gastritis: a case report and literature review]]></article-title>
<article-title xml:lang="es"><![CDATA[Distensión gástrica masiva con gastritis enfisematosa: reporte de un caso y revisión de la literatura]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tuero]]></surname>
<given-names><![CDATA[Carlota]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Docio]]></surname>
<given-names><![CDATA[Gorka]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Artajona]]></surname>
<given-names><![CDATA[Alicia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arin]]></surname>
<given-names><![CDATA[Beñat]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cires]]></surname>
<given-names><![CDATA[Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Monton]]></surname>
<given-names><![CDATA[Soledad]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Garcia Orcoyen Hospital Department of General and Digestive Surgery ]]></institution>
<addr-line><![CDATA[Navarra ]]></addr-line>
<country>Spain</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>90</volume>
<numero>6</numero>
<fpage>838</fpage>
<lpage>841</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-054X2022000600838&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-054X2022000600838&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-054X2022000600838&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Acute massive gastric dilatation is a rare condition mainly seen in patients with alimentary disorders. This massive distention may cause gastric necrosis and even perforation and emphysematous gastritis. We report the case of an 18-year-old female with intense abdominal pain and signs of sepsis. Computed-tomography scan diagnosed an acute massive gastric distention within gas into the gastric wall. Despite rapid instauration of conservative treatment, the patient finally underwent surgery. It is important to discard this infrequent pathology even in young and healthy people. An early diagnosis is crucial, a rapid instauration of conservative management may be effective and avoid surgery.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La distensión gástrica masiva es una condición rara, principalmente descrita en pacientes con trastornos de la conducta alimentaria, que puede evolucionar hacia una necrosis, perforación o gastritis enfisematosa. Reportamos el caso de una paciente de 18 años valorada por intenso dolor abdominal y sepsis, diagnosticada de distensión gástrica masiva. A pesar del tratamiento conservador, la paciente requirió cirugía urgente. Es importante descartar esta entidad cuando valoramos a un paciente en Urgencias ya que es una patología infrecuente presente en gente joven y sana. Un diagnóstico temprano es crucial porque el tratamiento conservador precoz puede ser eficaz y evitar la cirugía.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Acute massive gastric distention]]></kwd>
<kwd lng="en"><![CDATA[Emphysematous gastritis]]></kwd>
<kwd lng="en"><![CDATA[Necrotizing gastritis]]></kwd>
<kwd lng="en"><![CDATA[Sarcina ventriculi]]></kwd>
<kwd lng="es"><![CDATA[Distensión gástrica masiva]]></kwd>
<kwd lng="es"><![CDATA[Gastritis enfisematosa]]></kwd>
<kwd lng="es"><![CDATA[Gastritis necrotizante]]></kwd>
<kwd lng="es"><![CDATA[Sarcina ventriculi]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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