<?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>S1405-00992024000300191</article-id>
<article-id pub-id-type="doi">10.35366/118731</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Manejo no operatorio en trauma de vesícula biliar. Reporte de un caso y revisión de la literatura]]></article-title>
<article-title xml:lang="en"><![CDATA[Non-operative management in gallbladder trauma. Case report and literature review]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cruz]]></surname>
<given-names><![CDATA[Enmanuel Guillermo de La]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bautista Cruz]]></surname>
<given-names><![CDATA[Raúl]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mejía Picasso]]></surname>
<given-names><![CDATA[Carlos Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Regional de Alta Especialidad &#8220;Dr. Gustavo A. Rovirosa Pérez&#8221;  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Regional de Alta Especialidad &#8220;Dr. Gustavo A. Rovirosa Pérez&#8221;,  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Regional de Alta Especialidad &#8220;Dr. Gustavo A. Rovirosa Pérez&#8221;  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2024</year>
</pub-date>
<volume>46</volume>
<numero>3</numero>
<fpage>191</fpage>
<lpage>196</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992024000300191&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992024000300191&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992024000300191&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: La ruptura traumática de la vesícula biliar es una entidad rara. La causa más común de trauma vesicular son las heridas penetrantes. El diagnóstico de esta entidad es a menudo un reto, por lo que se presenta el caso de un masculino con trauma penetrante de abdomen en región toracoabdominal sin datos de abdomen agudo desde su ingreso, se realizó tomografía de abdomen reportando: laceración hepática del segmento V grado I, vesícula con contenido heterogéneo, probable contenido hemático, discreta cantidad de líquido perivesicular. Ante los hallazgos de imagen se ofrece al paciente realizar laparoscopia diagnóstica y evaluar la colecistectomía; sin embargo, el paciente no acepta procedimiento quirúrgico. Se decide alta y vigilancia por la consulta externa. Si bien el riesgo teórico de aparición de una colecistitis secundaria a hemobilia existe, su incidencia es tan baja que no se considera preceptiva la realización de colecistectomía en todos los casos de hemobilia.  Conclusión:  La laparotomía exploratoria se indica ante datos de lesiones asociadas que ponen en riesgo la vida del paciente. El estudio de mayor sensibilidad es la tomografía computarizada, siempre y cuando estemos ante un paciente estable.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Traumatic rupture of the gallbladder is a rare entity. The most common cause of gallbladder trauma is penetrating wounds. Diagnosis of this entity is often a challenge. Therefore, the case of a male with penetrating abdominal trauma in the thoracoabdominal region is presented without signs of acute abdomen since his admission. An abdominal CT scan was performed, reporting: hepatic laceration of segment V grade I, Gallbladder with heterogeneous content, probable blood content, discrete amount of perivesicular fluid. Given the imaging findings, the patient is offered diagnostic laparoscopy and cholecystectomy evaluation, however, the patient does not accept the surgical procedure. Discharge and monitoring are decided by the outpatient clinic. Although the theoretical risk of the appearance of cholecystitis secondary to hemobilia exists, its incidence is so low that cholecystectomy is not considered mandatory in all cases of hemobilia.  Conclusion:  Exploratory laparotomy is indicated when there are signs of associated injuries that put the patient&#8217;s life at risk. The study with the greatest sensitivity is computed tomography, as long as we are dealing with a stable patient.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[colecistitis]]></kwd>
<kwd lng="es"><![CDATA[trauma penetrante]]></kwd>
<kwd lng="es"><![CDATA[vesícula biliar]]></kwd>
<kwd lng="es"><![CDATA[hemobilia]]></kwd>
<kwd lng="es"><![CDATA[colecistectomía]]></kwd>
<kwd lng="en"><![CDATA[cholecystitis]]></kwd>
<kwd lng="en"><![CDATA[penetrating trauma]]></kwd>
<kwd lng="en"><![CDATA[gallbladder]]></kwd>
<kwd lng="en"><![CDATA[hemobilia]]></kwd>
<kwd lng="en"><![CDATA[cholecystectomy]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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