<?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>2072-8174</journal-id>
<journal-title><![CDATA[Revista del Nacional (Itauguá)]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Nac. (Itauguá)]]></abbrev-journal-title>
<issn>2072-8174</issn>
<publisher>
<publisher-name><![CDATA[Hospital Nacional (Itauguá)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2072-81742018000200152</article-id>
<article-id pub-id-type="doi">10.18004/rdn2018.010.02.152-163</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Hidrotórax hepático en paciente con colangitis esclerosante primaria]]></article-title>
<article-title xml:lang="en"><![CDATA[Hepatic hydrothorax in a patient with cirrhosis due primary sclerosing cholangitis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Echagüe Armoa]]></surname>
<given-names><![CDATA[Teresa María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fretes Oviedo]]></surname>
<given-names><![CDATA[Natalia Elizabeth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Denis Doldán]]></surname>
<given-names><![CDATA[Amado Emilio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santa Cruz Segovia]]></surname>
<given-names><![CDATA[Francisco Vicente]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Católica &#8220;Nuestra Señora de la Asunción&#8221; Facultad de Ciencias de la Salud ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Central del Instituto de Previsión Social Servicio de Clínica Médica ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Católica &#8220;Nuestra Señora de la Asunción&#8221; Facultad de Ciencias de la Salud Carrera de Medicina, Cátedra de Fisiopatología]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<volume>10</volume>
<numero>2</numero>
<fpage>152</fpage>
<lpage>163</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2072-81742018000200152&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2072-81742018000200152&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2072-81742018000200152&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Se presenta el caso de un paciente de sexo masculino de 39 años, portador de colangitis esclerosante primaria desde hace 9 años, complicado con síndrome de hipertensión portal más insuficiencia hepática, en plan de trasplante hepático, en seguimiento por el Servicio de Gastroenterología. Ingresa por dificultad respiratoria, constatándose derrame pleural izquierdo extenso con características de trasudado con ascitis moderada, por lo que se procede al drenaje del líquido pleural y ascítico con goteo concomitante de albúmina endovenosa. El paciente presenta buena tolerancia y disminución importante tanto del derrame pleural como del líquido ascítico. Es dado de alta en mejores condiciones y con aumento de dosis de fármacos para el tratamiento de la ascitis.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT We present the case of a male patient 39 years old, with a history of primary sclerosing cholangitis for 9 years, complicated with portal hypertension and liver failure, he is in liver transplant program, followed up by Gastroenterology Service. He was admitted for respiratory failure, and massive left pleural effusion, with of features transudate and moderate ascites was noted aswell, we performes pleural and ascitic fluid drainage with concomitant infusion of intravenous albumin. The patient shows good tolerance and significant decrease in both pleural effusion and ascitic fluid. He was discharged in better condition and with increased doses of drugs for the treatment of ascites.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[hidrotórax]]></kwd>
<kwd lng="es"><![CDATA[cirrosis hepática]]></kwd>
<kwd lng="es"><![CDATA[colangitis esclerosante]]></kwd>
<kwd lng="es"><![CDATA[hipertensión portal]]></kwd>
<kwd lng="en"><![CDATA[hydrothorax]]></kwd>
<kwd lng="en"><![CDATA[liver cirrhosis]]></kwd>
<kwd lng="en"><![CDATA[sclerosing cholangitis]]></kwd>
<kwd lng="en"><![CDATA[portal hypertension]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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