<?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>S1405-00992023000100043</article-id>
<article-id pub-id-type="doi">10.35366/110702</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Absceso hepático secundario a ruptura intrahepática de piocolecisto]]></article-title>
<article-title xml:lang="en"><![CDATA[Hepatic abscess secondary to intrahepatic pyocholecyst perforation]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sevilla Santoyo]]></surname>
<given-names><![CDATA[Mizael Orlando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bolaños Badillo]]></surname>
<given-names><![CDATA[Luis Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Frías Almaraz]]></surname>
<given-names><![CDATA[Julián Felipe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Ángeles Pedregal  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Ángeles Pedregal Hospital General de México ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Ángeles Pedregal  ]]></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>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2023</year>
</pub-date>
<volume>45</volume>
<numero>1</numero>
<fpage>43</fpage>
<lpage>46</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992023000100043&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992023000100043&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992023000100043&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  la perforación espontánea de la vesícula biliar es una complicación poco frecuente de las patologías vesiculares, en la colecistitis aguda se presenta aproximadamente 2% de los casos, se asocia con una mortalidad entre 12 y 42%. Si se presenta con un absceso hepático concomitante es aún más rara.  Material y métodos:  paciente femenino de 55 años quien acudió al servicio de urgencias por dolor abdominal en epigastrio e hipocondrio derecho, irradiado a región interescapular de un mes de evolución. Se encontró leucocitosis, elevación de fosfatasa alcalina (FA) y gamma-glutamil transferasa (GGT); la tomografía axial computarizada (TAC) abdominal contrastada mostró vesícula biliar con litos impactados en su interior, ruptura intrahepática y absceso intrahepático.  Resultados:  realizamos colecistectomía más drenaje de absceso y colocación de drenajes por laparoscopia. Colocamos cuatro trocares, encontramos vesicular biliar Parkland 5 y absceso hepático en segmentos IV y V, se extrajo pieza con bolsa extractora y finalmente se colocaron drenajes de 19 Fr a hiato de Winslow y a cavidad del absceso.  Conclusiones:  la ruptura vesicular con formación de absceso hepático es una complicación poco frecuente. Representa un reto diagnóstico para el cirujano; sin embargo, gracias a las nuevas herramientas diagnósticas se puede realizar el diagnóstico de manera oportuna.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  spontaneous gallbladder perforation is a rare complication of gallbladder pathologies, it&#8217;s seen in approximately 2% with mortality risk reported between 12-42%. If a secondary hepatic abscess is associated is even a less frequent complication.  Material and methods:  55 year old woman, who visits the emergency room referring approximately a month with abdominal pain which irradiates to the inter-scapular region. Laboratory tests reported elevated leukocytes, alkaline phosphatase and gamma glutamyl transferase. The contrasted abdominal CT showed a gallbladder with impacted biliary calculus, as well as an intrahepatic rupture of the gallbladder associated to a hepatic abscess.  Results:  a laparoscopic cholecystectomy, abscess drainage and intraabdominal drain placement was carried out. We used four laparoscopic trocars. We found a Parkland 5 gallbladder and a hepatic abscess in segments IV and V. The surgical piece was extracted with an extracting bag and 19 Fr drains were placed to Winslow hiatus and the abscess cavity.  Conclusions:  gallbladder perforation with a secondary formation of a hepatic abscess is a very rare complication. It represents a diagnostic challenge, though due to recent diagnostic tools, prompt diagnosis is a possibility.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[piocolecisto]]></kwd>
<kwd lng="es"><![CDATA[bilioma]]></kwd>
<kwd lng="es"><![CDATA[perforación vesícula biliar]]></kwd>
<kwd lng="es"><![CDATA[absceso hepático]]></kwd>
<kwd lng="es"><![CDATA[laparoscopia]]></kwd>
<kwd lng="en"><![CDATA[gallbladder empyema]]></kwd>
<kwd lng="en"><![CDATA[bilioma]]></kwd>
<kwd lng="en"><![CDATA[gallbladder perforation]]></kwd>
<kwd lng="en"><![CDATA[hepatic abscess]]></kwd>
<kwd lng="en"><![CDATA[laparoscopy]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hussain]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Adams]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Ahmed]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Arshad]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Solkar]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Intrahepatic perforation of the gallbladder causing liver abscesses: case studies and literature review of a rare complication]]></article-title>
<source><![CDATA[Ann R Coll Surg Engl]]></source>
<year>2016</year>
<volume>98</volume>
<page-range>e88-91</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Singh]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Singh]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Vidyarthi]]></surname>
<given-names><![CDATA[SH]]></given-names>
</name>
<name>
<surname><![CDATA[Jindal]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Thounaojam]]></surname>
<given-names><![CDATA[CK]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Spontaneous Intrahepatic Type II Gallbladder Perforation: A Rare Cause of Liver Abscess - Case Report]]></article-title>
<source><![CDATA[J Clin Diagn Res]]></source>
<year>2013</year>
<volume>7</volume>
<page-range>2012-4</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gobel]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Kubitz]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Blondin]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Haussinger]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Intrahepatic type II gall bladder perforation by a gall stone in a CAPD patient]]></article-title>
<source><![CDATA[Eur J Med Res]]></source>
<year>2011</year>
<volume>16</volume>
<page-range>213-6</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Taneja]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Sharma]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Duseja]]></surname>
<given-names><![CDATA[AK]]></given-names>
</name>
<name>
<surname><![CDATA[Kalra]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Chawla]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Spontaneous perforation of gallbladder with intrahepatic bilioma]]></article-title>
<source><![CDATA[J Clin Exp Hepatol]]></source>
<year>2011</year>
<volume>1</volume>
<page-range>210-1</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Date]]></surname>
<given-names><![CDATA[RS]]></given-names>
</name>
<name>
<surname><![CDATA[Thrumurthy]]></surname>
<given-names><![CDATA[SG]]></given-names>
</name>
<name>
<surname><![CDATA[Whiteside]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Umer]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Pursnani]]></surname>
<given-names><![CDATA[KG]]></given-names>
</name>
<name>
<surname><![CDATA[Ward]]></surname>
<given-names><![CDATA[JB]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Gallbladder perforation: case series and systematic review]]></article-title>
<source><![CDATA[Int J Surg]]></source>
<year>2012</year>
<volume>10</volume>
<page-range>63-8</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Quiroga-Garza]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Alvarez-Villalobos]]></surname>
<given-names><![CDATA[NA]]></given-names>
</name>
<name>
<surname><![CDATA[Angeles-Mar]]></surname>
<given-names><![CDATA[HJ]]></given-names>
</name>
<name>
<surname><![CDATA[Garcia-Campa]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Muñoz-Leija]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Salinas-Alvarez]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Localized gallbladder perforation: a systematic review of treatment and prognosis]]></article-title>
<source><![CDATA[HPB (Oxford)]]></source>
<year>2021</year>
<volume>23</volume>
<page-range>1639-46</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Niemeier]]></surname>
<given-names><![CDATA[OW]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Acute free perforation of the gall-bladder]]></article-title>
<source><![CDATA[Ann Surg]]></source>
<year>1934</year>
<volume>99</volume>
<page-range>922-4</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bolívar]]></surname>
<given-names><![CDATA[RMA]]></given-names>
</name>
<name>
<surname><![CDATA[Cázarez]]></surname>
<given-names><![CDATA[AMA]]></given-names>
</name>
<name>
<surname><![CDATA[Guadrón]]></surname>
<given-names><![CDATA[LCO]]></given-names>
</name>
<name>
<surname><![CDATA[Fierro]]></surname>
<given-names><![CDATA[LR]]></given-names>
</name>
<name>
<surname><![CDATA[Basil]]></surname>
<given-names><![CDATA[DGA]]></given-names>
</name>
<name>
<surname><![CDATA[Valdespino]]></surname>
<given-names><![CDATA[GB]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Ruptura intrahepática de vesícula biliar por piocolecisto presentándose como absceso hepático: reporte de un caso]]></article-title>
<source><![CDATA[Rev Mex Cir Endoscop]]></source>
<year>2016</year>
<volume>17</volume>
<page-range>43-6</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
