<?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>S2307-04202025000300019</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.2025.diciembre.19</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Trombosis del eje porto mesentérico no asociado a cirrosis: Reporte de un caso clínico]]></article-title>
<article-title xml:lang="en"><![CDATA[Portomesenteric axis thrombosis not associated with cirrhosis: A clinical case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodriguez Candia]]></surname>
<given-names><![CDATA[Erico]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodriguez Avalos]]></surname>
<given-names><![CDATA[Maria Sofia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Acevedo Ugarriza]]></surname>
<given-names><![CDATA[Laura Elizabeth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rios Pereira]]></surname>
<given-names><![CDATA[Jorge Mauricio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rios Velázquez]]></surname>
<given-names><![CDATA[Ramón Sebastian]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,La Costa Centro Médico  ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Católica "Nuestra Señora de la Asunción"  ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<volume>49</volume>
<numero>3</numero>
<fpage>19</fpage>
<lpage>21</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202025000300019&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202025000300019&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202025000300019&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La trombosis venosa porto mesentérica, constituye el 10% de los casos de isquemia mesentérica aguda. Se informa un paciente de 71 años que acude por dolor abdominal asociado a retención de heces y gases. Estos síntomas son inespecíficos y pueden presentarse en diversos cuadros abdominales, lo que dificulta su diagnóstico. La tomografía axial computarizada de abdomen contrastada confirmó el diagnóstico. La elección del tratamiento endovascular resultó en una recuperación exitosa, destacando la importancia del diagnóstico temprano para minimizar la morbimortalidad. Se presenta la primera manifestación documentada de la trombosis venosa porto mesentérica en Paraguay, sin causa identificable.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Portomesenteric venous thrombosis accounts for 10% of cases of acute mesenteric ischemia. A 71-year-old patient presented with abdominal pain associated with fecal and gas retention. These symptoms are nonspecific and may occur in various abdominal conditions, which can hinder early diagnosis. Contrast-enhanced abdominal computed tomography confirmed the diagnosis. The choice of endovascular treatment led to a successful recovery, highlighting the importance of early diagnosis to minimize morbidity and mortality. This case marks the first documented occurrence of portomesenteric venous thrombosis in Paraguay, with no identifiable cause.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Abdomen]]></kwd>
<kwd lng="es"><![CDATA[Isquemia Mesentérica]]></kwd>
<kwd lng="es"><![CDATA[Tomografía]]></kwd>
<kwd lng="en"><![CDATA[Abdomen]]></kwd>
<kwd lng="en"><![CDATA[Mesenteric Ischemia]]></kwd>
<kwd lng="en"><![CDATA[Tomography]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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