<?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[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>S2307-04202021000300030</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.2021.diciembre.30</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Abdomen agudo quirúrgico hemorrágico por hematoma hepático subcapsular de lóbulo derecho. Reporte de caso clinico]]></article-title>
<article-title xml:lang="en"><![CDATA[Acute surgical abdomen hemorrhagic due to subcapsular hepatic hematoma of the right lobe. Clinical case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fretes]]></surname>
<given-names><![CDATA[Dario]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Insfran]]></surname>
<given-names><![CDATA[Sergio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aguilera]]></surname>
<given-names><![CDATA[Panambi]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Militar Central de las Fuerzas Armadas Servicio de Cirugía General ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>45</volume>
<numero>3</numero>
<fpage>30</fpage>
<lpage>31</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202021000300030&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202021000300030&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202021000300030&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN El hígado es el órgano más voluminoso del abdomen, lo que lo expone a ser altamente vulnerable durante un traumatismo abdominal. El hematoma Hepático por definición es la lesión del hígado por trauma cerrado o penetrante, tanto del abdomen como de la parte inferior del tórax derecho, por lo general es muy infrecuente con pocos síntomas específicos. Actualmente el manejo tiende a ser cada vez más conservador, dejando la cirugía para casos específicos. La estabilidad hemodinámica es el factor más importante. La principal causa de falla de tratamiento no operatorio es la hemorragia persistente. Se presenta el caso de un masculino de 66 años, que acude al servicio con antecedente de caída de propia altura y dolor en hipocondrio derecho.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT The liver is the largest organ in the abdomen, leaving it highly vulnerable during abdominal trauma. Hepatic hematoma by definition is injury to the liver due to blunt or penetrating trauma, both of the abdomen and the lower part of the right thorax. The evolution in the diagnosis of liver trauma has achieved a decrease in mortality in recent years; it is generally very rare with few specific symptoms. Currently, management tends to be more and more conservative, leaving surgery for specific cases. Hemodynamic stability is the most important factor that influences the choice of the appropriate patient. The main cause of non-operative treatment failure is persistent bleeding. We present the case of a 66-year-old male, who came to the service with a history of falling from his own height and present wit pain in the right upper quadrant.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Traumatismo]]></kwd>
<kwd lng="es"><![CDATA[hígado]]></kwd>
<kwd lng="es"><![CDATA[cirugía]]></kwd>
<kwd lng="en"><![CDATA[Trauma]]></kwd>
<kwd lng="en"><![CDATA[liver]]></kwd>
<kwd lng="en"><![CDATA[surgery]]></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[Lavanderos]]></surname>
<given-names><![CDATA[FJ]]></given-names>
</name>
<name>
<surname><![CDATA[Cárcamo]]></surname>
<given-names><![CDATA[IC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Traumatismo hepático]]></article-title>
<source><![CDATA[Cuadernos de Cirugía]]></source>
<year>2001</year>
<volume>25</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>43-51</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[Noyola Villalobos]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Loera-Torres]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Jiménez-Chavarría]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Núñez-Cantú]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[García-Núñez]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Arcaute-Velázquez]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Tratamiento no operatorio de las lesiones hepáticas por trauma no penetrante: artículo de revisión]]></article-title>
<source><![CDATA[Cirugía y cirujanos]]></source>
<year>2016</year>
<volume>84</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>263-6</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[Ugalde]]></surname>
<given-names><![CDATA[LJC]]></given-names>
</name>
<name>
<surname><![CDATA[Ferrufino]]></surname>
<given-names><![CDATA[MAL]]></given-names>
</name>
<name>
<surname><![CDATA[Martín-Melgarejo]]></surname>
<given-names><![CDATA[OG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Manejo no operatorio del trauma hepático contuso severo. La excepción a la regla. Presentación de un caso]]></article-title>
<source><![CDATA[Cir Gen]]></source>
<year>2009</year>
<volume>31</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>51-5</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[García del Castillo]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Flores Huerta]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Laparoscopia diagnóstica en trauma abdominal]]></article-title>
<source><![CDATA[Trauma]]></source>
<year>2003</year>
<volume>6</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>15-20</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
