<?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>2307-0420</journal-id>
<journal-title><![CDATA[Cirugía paraguaya]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Cir. Parag.]]></abbrev-journal-title>
<issn>2307-0420</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2307-04202016000200031</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.noviembre.31-33</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[RETRONEUMOPERITONEO Y CELULITIS RETROPERITONEAL: COMPLICACIONES INUSUALES DE LA ENFERMEDAD DIVERTICULAR DEL COLON]]></article-title>
<article-title xml:lang="en"><![CDATA[PNEUMORETROPERITONEUM AND RETROPERITONEAL CELLULITIS: UNUSUAL COMPLICATIONS OF COLONIC DIVERTICULAR DISEASE]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Samaniego]]></surname>
<given-names><![CDATA[Castor]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez]]></surname>
<given-names><![CDATA[Gabriel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rojas]]></surname>
<given-names><![CDATA[Néstor]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ojeda]]></surname>
<given-names><![CDATA[Osvaldo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chaparro]]></surname>
<given-names><![CDATA[Diana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Médico Bautista  ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>11</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>11</month>
<year>2016</year>
</pub-date>
<volume>40</volume>
<numero>2</numero>
<fpage>31</fpage>
<lpage>33</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202016000200031&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202016000200031&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202016000200031&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Se reporta dos casos de retroneumoperitoneo con neumo-mediastino, consecuencias de perforaciones diverticulares en el espacio retroperitoneal, en pacientes portadores de diverticulitis aguda y septicemia. En ambos casos no se comprobó contaminación peritoneal alguna, siendo sometidos a Colectomia parcial tipo Hartmann con buena evolución; al momento del reporte ambos han sido sometidos al restablecimiento del tránsito colo-rectal. Se discuten los problemas diagnósticos y los posibles mecanis-mos del paso del aire - y gérmenes bacterianos - al mediastino.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT We report two cases of retropneumoperitoneum with pneumomediastinum, as a result of diverticular perforations in the retroperitoneal space, in patients with acute diverticulitis and septicemia. In both cases the patients underwent partial colectomy (Hartmann procedure) with good evolution, and no sign of peritoneal contamination was found. Currently both patients have undergone colorectal transit restoration. We discuss problems with the diagnosis and possible mechanism of the air and bacterial germ passage to the mediastinum.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[retroneumoperitoneo]]></kwd>
<kwd lng="es"><![CDATA[diverticulitis]]></kwd>
<kwd lng="en"><![CDATA[retropneumoperitoneum]]></kwd>
<kwd lng="en"><![CDATA[diverticulitis]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Perforación estercorácea de sigma]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rodero Astaburuaga]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Dobón Giménez]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Rodero Rodero]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev. esp. enferm. dig.]]></source>
<year>2006</year>
<volume>98</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>55-7</page-range></nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Neumotórax, neumoperitoneo y retroneumoperitoneo debidos a perforación espontánea del colon]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ortega Carnicer]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Med. Intensiva]]></source>
<year>2006</year>
<volume>30</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>82-3</page-range></nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Diverticulitis aguda complicada: tendencias en el tratamiento actual]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pereira C]]></surname>
<given-names><![CDATA[Nicolás]]></given-names>
</name>
<name>
<surname><![CDATA[Vega S]]></surname>
<given-names><![CDATA[Javier]]></given-names>
</name>
<name>
<surname><![CDATA[Readi V]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<name>
<surname><![CDATA[Abedrapo M]]></surname>
<given-names><![CDATA[Mario]]></given-names>
</name>
<name>
<surname><![CDATA[Galleguillos G]]></surname>
<given-names><![CDATA[Alfonso]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev Chil Cir]]></source>
<year>2012</year>
<volume>64</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>581-5</page-range></nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Perforated jejunal diverticula]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Butler]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Collins]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Mc Entee]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<source><![CDATA[Journal of Medical Case Reports]]></source>
<year>2010</year>
<volume>4</volume>
<page-range>172</page-range></nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[A Rare Cause of Acute Abdomen]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Aydin]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Pergel]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Yucel]]></surname>
<given-names><![CDATA[AF]]></given-names>
</name>
<name>
<surname><![CDATA[Sahin]]></surname>
<given-names><![CDATA[DA]]></given-names>
</name>
</person-group>
<source><![CDATA[J Clin Imaging Sci]]></source>
<year>2013</year>
<volume>3</volume>
<page-range>31</page-range></nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Enfermedad diverticular del colon]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Astiz]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Beraudo]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Tighitella]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<source><![CDATA[Cirugía Digestiva]]></source>
<year>2007</year>
<volume>III</volume>
<numero>315</numero>
<issue>315</issue>
<page-range>1-18</page-range></nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Divertículo perforado del Colon]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ramírez Robinson]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Arauz Brito]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Jara Alba M]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<source><![CDATA[Revista Ecuatoriana de Medicina]]></source>
<year>1999</year>
<volume>5</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Revisión de los hallazgos radiológicos de la diverticulitis aguda y sus complicaciones]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[García Carriazo]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Carmona González]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Mármol Vázquez]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Hernandez Ollero]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<source><![CDATA[Sociedad Española de Radiología Médica]]></source>
<year>2012</year>
</nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Atualização no tratamento da diverticulite aguda do cólon]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Diaz André]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Gondim]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Neiva]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Nahas]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev bras. colo-proctol]]></source>
<year>2009</year>
<volume>29</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>363-71</page-range></nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Challenging a classic myth]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Costi]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Cauchy]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Le Bian]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Surgical Endoscopy]]></source>
<year>2012</year>
<volume>26</volume>
<page-range>2061-207</page-range></nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Pneumomediastinum caused by Colonic Diverticulitis Perforation]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Choi]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<source><![CDATA[Journal of the Korean Surgical Society]]></source>
<year>2011</year>
<volume>80</volume>
<numero>^s1</numero>
<issue>^s1</issue>
<supplement>1</supplement>
<page-range>S17-20</page-range></nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Pneumoretroperitoneum and Pneumomediastinum Revealing a Left Colon Perforation]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Montori]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Di Giovanni]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Mzoughi]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
</person-group>
<source><![CDATA[International Surgery]]></source>
<year>2015</year>
<volume>100</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>984-8</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
