<?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>0186-2391</journal-id>
<journal-title><![CDATA[Acta pediátrica de México]]></journal-title>
<abbrev-journal-title><![CDATA[Acta pediatr. Méx]]></abbrev-journal-title>
<issn>0186-2391</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Pediatría]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0186-23912018000200179</article-id>
<article-id pub-id-type="doi">10.18233/apm39no2pp179-1841577</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Diagnóstico de neumatosis gástrica en pacientes pediátricos. Reporte de serie de casos]]></article-title>
<article-title xml:lang="en"><![CDATA[Diagnosis of gastric pneumatosis in pediatric patients. Case report series.]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gil-Vargas]]></surname>
<given-names><![CDATA[Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Balanzar-Depraect]]></surname>
<given-names><![CDATA[José Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Victoria-Morales]]></surname>
<given-names><![CDATA[Guillermo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lee Miguel-Sardaneta]]></surname>
<given-names><![CDATA[Mariana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López-Santos]]></surname>
<given-names><![CDATA[Héctor Alonso]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramírez-Servín]]></surname>
<given-names><![CDATA[Angélica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rosas-Téllez]]></surname>
<given-names><![CDATA[Michelle]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Servicios de Salud del Estado de Puebla  ]]></institution>
<addr-line><![CDATA[ Puebla]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Servicios de Salud del Estado de Puebla  ]]></institution>
<addr-line><![CDATA[ Puebla]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Servicios de Salud del Estado de Puebla  ]]></institution>
<addr-line><![CDATA[ Puebla]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad Popular Autónoma del Estado de Puebla  ]]></institution>
<addr-line><![CDATA[ Puebla]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2018</year>
</pub-date>
<volume>39</volume>
<numero>2</numero>
<fpage>179</fpage>
<lpage>184</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0186-23912018000200179&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0186-23912018000200179&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0186-23912018000200179&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: La neumatosis gástrica es la presencia de aire en la pared del estómago. Es un signo radiológico extremadamente raro en pediatría causado por lesiones microscópicas de la mucosa gástrica. Se presentan cuatro casos de pacientes pediátricos con diagnóstico de neumatosis gástrica atendidos entre el 1 de enero de 2010 y el 31 de diciembre de 2015. Los pacientes presentaron similitudes en sus síntomas como vómito, fiebre y dolor abdominal. El caso dos tuvo antecedente personal patológico de síndrome de Down y el caso cuatro antecedente de laparotomía exploradora por torsión axial del estómago. Se sometieron a cirugía todos los casos con diagnóstico preoperatorio de neumatosis gástrica. Los casos 1 y 4 fueron objeto de segunda intervención quirúrgica por obstrucción intestinal. Se analizan 4 de 5 diagnósticos debido a que un caso clínico no contó con diagnóstico operatorio pues el paciente causó alta voluntaria. La neumatosis gástrica es un signo radiológico que, de acuerdo con sus características, orienta a sospechar una obstrucción gastroduodenal. Así mismo, se han encontrado diversos casos de neumatosis gástrica en pacientes con síndrome de Down.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Gastric pneumatosis is the presence of air in the stomach wall. It is a radiological sign extremely rare in the pediatric population, caused by microscopic injuries in the gastric mucosa. We described 4 clinical cases of gastric pneumatosis in pediatric patients during January 1st, 2010 to December 31st, 2015. The 4 patients presented similarities in the symptomatology, such as vomiting, fever and abdominal pain. Cases 2 presented as a personal pathological antecedent Down syndrome, and the case 4 presented history of exploratory laparotomy caused by axial torsion of the stomach. Cases 1 and 4 underwent a second surgical intervention due to intestinal obstruction. 1 patient was a voluntary discharged.  Gastric pneumatosis is a radiological sign that lead us to suspect a gastroduodenal obstruction. Several cases of gastric pneumatosis have been found in patients with Down syndrome.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[neumatosis gástrica]]></kwd>
<kwd lng="es"><![CDATA[gastritis enfisematosa]]></kwd>
<kwd lng="es"><![CDATA[neumatosis quística]]></kwd>
<kwd lng="es"><![CDATA[enfisema gástrico]]></kwd>
<kwd lng="en"><![CDATA[gastric pneumatosis]]></kwd>
<kwd lng="en"><![CDATA[emphysematous gastritis]]></kwd>
<kwd lng="en"><![CDATA[quistic neumatosis]]></kwd>
<kwd lng="en"><![CDATA[gastric emphysema]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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