<?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>2444-6483</journal-id>
<journal-title><![CDATA[Endoscopia]]></journal-title>
<abbrev-journal-title><![CDATA[Endoscopia]]></abbrev-journal-title>
<issn>2444-6483</issn>
<publisher>
<publisher-name><![CDATA[Asociación Mexicana de Endoscopia Gastrointestinal A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2444-64832025000100022</article-id>
<article-id pub-id-type="doi">10.24875/end.24000013</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Enfisema masivo después de una colangiopancreatografía retrógrada endoscópica]]></article-title>
<article-title xml:lang="en"><![CDATA[Massive emphysema after retrograde endoscopic cholangiopancreatography]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zafra-Hernández]]></surname>
<given-names><![CDATA[Guadalupe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Murcio-Pérez]]></surname>
<given-names><![CDATA[Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gordillo-Penagos]]></surname>
<given-names><![CDATA[Rosario]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez-Morales]]></surname>
<given-names><![CDATA[Guillermo B.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Mondragón]]></surname>
<given-names><![CDATA[Oscar V.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martinez-Segundo]]></surname>
<given-names><![CDATA[Uriel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Médico Nacional Siglo XXI Hospital de Especialidades Departamento de Endoscopía]]></institution>
<addr-line><![CDATA[ Ciudad de México]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2025</year>
</pub-date>
<volume>37</volume>
<numero>1</numero>
<fpage>22</fpage>
<lpage>25</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-64832025000100022&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-64832025000100022&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-64832025000100022&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La perforación duodenal posterior a esfinterotomía tiene una incidencia de 0,08% a 0,6%. El enfisema subcutáneo masivo progresivo con neumotórax, neumomediastino, neumoperitoneo secundario a esta complicación es extremadamente raro. Se presenta caso clínico de una mujer con coledocolitiasis sometida a CPRE electiva quién desarrolla enfisema masiva por perforación duodenal Stapfer tipo 2.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Duodenal perforation after sphincterotomy has an incidence of 0.08% to 0.6%. Progressive massive subcutaneous emphysema with pneumothorax, pneumomediastinum, pneumoperitoneum secondary to this complication is extremely rare. A clinical case of a female patient with choledocholithiasis undergoing Elective ERCP who develops these complications due to Stapfer type 2 duodenal perforation is presented]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Colangiopancreatografía retrógrada endoscópica]]></kwd>
<kwd lng="es"><![CDATA[Enfisema]]></kwd>
<kwd lng="es"><![CDATA[Esfinterotomía]]></kwd>
<kwd lng="es"><![CDATA[Perforación intestinal]]></kwd>
<kwd lng="en"><![CDATA[Cholangiopancreatography endoscopic retrograde]]></kwd>
<kwd lng="en"><![CDATA[Emphysema]]></kwd>
<kwd lng="en"><![CDATA[Sphincterotomy]]></kwd>
<kwd lng="en"><![CDATA[Intestinal perforation]]></kwd>
</kwd-group>
</article-meta>
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<issue>8</issue>
<page-range>1990-5</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
