<?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>S1405-00992020000100031</article-id>
<article-id pub-id-type="doi">10.35366/92709</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Ruptura hepática en el síndrome de HELLP. Revisión del tratamiento quirúrgico]]></article-title>
<article-title xml:lang="en"><![CDATA[Hepatic rupture in HELLP syndrome: Surgical management guide]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cruz-Santiago]]></surname>
<given-names><![CDATA[José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Meza-Jiménez]]></surname>
<given-names><![CDATA[Guillermo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ayala-López]]></surname>
<given-names><![CDATA[Ernesto Alonso]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Velázquez-García]]></surname>
<given-names><![CDATA[José Arturo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moreno-Ley]]></surname>
<given-names><![CDATA[Pedro Iván]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Robledo-Meléndez]]></surname>
<given-names><![CDATA[Arlette]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rivera-Luna]]></surname>
<given-names><![CDATA[Eunice Nayeli]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Noriega-Salas]]></surname>
<given-names><![CDATA[Lorena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Centro Médico Nacional La Raza Hospital de Especialidades]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Centro Médico Nacional La Raza Hospital de Especialidades]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Centro Médico Nacional La Raza Hospital de Especialidades]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Centro Médico Nacional La Raza Hospital de Especialidades]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital de Especialidades de Veracruz  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Centro Médico Nacional La Raza Hospital de Especialidades]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<volume>42</volume>
<numero>1</numero>
<fpage>31</fpage>
<lpage>37</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992020000100031&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992020000100031&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992020000100031&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  La ruptura hepática en síndrome de HELLP es una complicación que resulta mortal para el binomio madre-hijo hasta en un 80% de los casos. Múltiples opciones terapéuticas se han descrito, tales como empaquetamiento hepático, resecciones segmentarias, e incluso trasplante hepático para casos severos.  Caso clínico:  Mujer de 32 años con síndrome de HELLP, se realiza cesárea encontrándose hematoma subcapsular hepático en lóbulo izquierdo, inicialmente se realizó empaquetamiento hepático y ligadura de la arteria hepática común, y hepatectomía izquierda como manejo definitivo.  Discusión y conclusiones:  El caso reportado fue tratado exitosamente mediante diversos métodos quirúrgicos. El reconocimiento temprano de esta complicación, el manejo quirúrgico agresivo y el apoyo multidisciplinario son las bases para disminuir la morbimortalidad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  Hepatic rupture in HELLP syndrome is a deadly complication for the mother-child binomial. Multiple therapeutic options have been described, such as hepatic packing, segmental resections, and even liver transplantation for severe cases.  Clinical case:  In a 32-year-old female with HELLP syndrome, a cesarean section was performed, hepatic subcapsular hematoma was found in the left lobe, initially liver packing and ligation of the common hepatic artery was done, and left hepatectomy was performed as a definitive management, with adequate evolution.  Discussion and conclusions:  The reported case was successfully treated by various surgical methods. The early recognition of this complication, aggressive surgical management and multidisciplinary support are bases to reduce morbidity and mortality.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Síndrome de HELLP]]></kwd>
<kwd lng="es"><![CDATA[ruptura hepática]]></kwd>
<kwd lng="es"><![CDATA[hematoma hepático]]></kwd>
<kwd lng="es"><![CDATA[preeclamsia]]></kwd>
<kwd lng="es"><![CDATA[hepatectomía]]></kwd>
<kwd lng="en"><![CDATA[HELLP syndrome]]></kwd>
<kwd lng="en"><![CDATA[hepatic rupture]]></kwd>
<kwd lng="en"><![CDATA[liver hematoma]]></kwd>
<kwd lng="en"><![CDATA[preeclampsia]]></kwd>
<kwd lng="en"><![CDATA[hepatectomy]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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