<?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>0026-1742</journal-id>
<journal-title><![CDATA[Revista de la Facultad de Medicina (México)]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Fac. Med. (Méx.)]]></abbrev-journal-title>
<issn>0026-1742</issn>
<publisher>
<publisher-name><![CDATA[Universidad Nacional Autónoma de México, Facultad de Medicina]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0026-17422018000400035</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Colecistitis crónica litiásica agudizada: una consulta frecuente en la guardia médica]]></article-title>
<article-title xml:lang="en"><![CDATA[Chronic lithiasic acute cholecystitis: a frequent consultation in the medical ward]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez Huitrón]]></surname>
<given-names><![CDATA[María Ameyali]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ocaña Monroy]]></surname>
<given-names><![CDATA[Jorge Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,IMSS La Raza Centro Médico Nacional]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,UNAM Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2018</year>
</pub-date>
<volume>61</volume>
<numero>4</numero>
<fpage>35</fpage>
<lpage>37</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0026-17422018000400035&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0026-17422018000400035&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0026-17422018000400035&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La colecistitis crónica litiásica es un motivo frecuente de consulta durante las guardias médicas, el cuadro clínico se presenta como náusea, vómito y dolor en el cuadrante superior derecho, principalmente. El diagnóstico se realiza con la historia clínica completa, exploración física detallada, exámenes de laboratorio (elevación de bilirrubinas, sobre todo a expensas de la directa) y un método de imagen confirmatorio, como podría ser el ultrasonido. El tratamiento debe ser quirúrgico para evitar complicaciones como perforación, fístula, piocolecisto o peritonitis generalizada.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract A frequent medical consultation during guards is regarding chronic lithiasic cholecystitis. The clinical presentation many includes nausea, vomiting and right upper quadrant pain. The diagnosis is made using a complete clinical history, detailed physical evaluation, laboratory blood tests and a confirmatory imaging method like an ultrasound. The treatment must be surgical to avoid complications such as perforation, fistula, piocolecisto or generalized peritonitis.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Litos]]></kwd>
<kwd lng="es"><![CDATA[colecistitis]]></kwd>
<kwd lng="es"><![CDATA[colecistitis crónica litiásica (CCL)]]></kwd>
<kwd lng="es"><![CDATA[cirugía]]></kwd>
<kwd lng="es"><![CDATA[abdomen agudo]]></kwd>
<kwd lng="en"><![CDATA[Gallstones]]></kwd>
<kwd lng="en"><![CDATA[cholecystitis]]></kwd>
<kwd lng="en"><![CDATA[CCL]]></kwd>
<kwd lng="en"><![CDATA[surgery]]></kwd>
<kwd lng="en"><![CDATA[acute abdominal syndrome]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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