<?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>S2307-04202025000100020</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.2025.abril.20</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Pancreatitis aguda y perforación retroperitoneal tras Colangiopancreatografía Retrógrada Endoscópica: reporte de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Acute pancreatitis and retroperitoneal perforation after endoscopic retrograde cholangiopancreatography: case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chenú]]></surname>
<given-names><![CDATA[Martín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barrios Escudero]]></surname>
<given-names><![CDATA[Adriana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zayas]]></surname>
<given-names><![CDATA[Gabina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lizzi]]></surname>
<given-names><![CDATA[Gauto,]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales]]></surname>
<given-names><![CDATA[Ariel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital de Clínicas Primera Cátedra de Clínica Quirúrgica ]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2025</year>
</pub-date>
<volume>49</volume>
<numero>1</numero>
<fpage>20</fpage>
<lpage>23</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202025000100020&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202025000100020&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202025000100020&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Paciente de 54 años sometida a Colangiopancreatografía Retrógrada Endoscópica (CPRE) por coledocolitiasis, que desarrolló pancreatitis aguda biliar severa y perforación tipo II retroperitoneal. El diagnóstico se confirmó por imagen y se manejó con drenaje percutáneo y tratamiento conservador, con buena evolución clínica. El caso destaca la importancia del reconocimiento precoz de complicaciones graves post-CPRE y el éxito del manejo no quirúrgico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract A 54-year-old patient underwent ERCP for choledocholithiasis and developed severe acute biliary pancreatitis and a type II retroperitoneal perforation. Diagnosis was confirmed by imaging and managed with percutaneous drainage and conservative treatment, with good clinical evolution. This case highlights the importance of early recognition of serious ERCP complications and the success of non-surgical management.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[CPRE]]></kwd>
<kwd lng="es"><![CDATA[Pancreatitis aguda biliar]]></kwd>
<kwd lng="es"><![CDATA[Perforación retroperitoneal]]></kwd>
<kwd lng="es"><![CDATA[Complicaciones postendoscópicas]]></kwd>
<kwd lng="es"><![CDATA[Drenaje percutáneo]]></kwd>
<kwd lng="en"><![CDATA[ERCP]]></kwd>
<kwd lng="en"><![CDATA[Acute biliary pancreatitis]]></kwd>
<kwd lng="en"><![CDATA[Retroperitoneal perforation]]></kwd>
<kwd lng="en"><![CDATA[Post-endoscopic complications]]></kwd>
<kwd lng="en"><![CDATA[Percutaneous drainage]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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</back>
</article>
