<?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>1029-3019</journal-id>
<journal-title><![CDATA[MEDISAN]]></journal-title>
<abbrev-journal-title><![CDATA[MEDISAN]]></abbrev-journal-title>
<issn>1029-3019</issn>
<publisher>
<publisher-name><![CDATA[Centro Provincial de Información de Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1029-30192018000900986</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Rotura hepática asociada a hipertensión arterial crónica y preeclampsia sobreañadida]]></article-title>
<article-title xml:lang="en"><![CDATA[Liver rupture associate with chronic hypertension and overadded preeclampsia]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Argilagos Casasayas]]></surname>
<given-names><![CDATA[Grisell]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arañó Piedra]]></surname>
<given-names><![CDATA[Jorge Félix]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nápoles Méndez]]></surname>
<given-names><![CDATA[Danilo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas Hospital Ginecoobstétrico Docente "Tamara Bunke Bider" ]]></institution>
<addr-line><![CDATA[Santiago de Cuba ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas Hospital General Docente &#8220;Dr. Juan Bruno Zayas Alfonso&#8221; ]]></institution>
<addr-line><![CDATA[Santiago de Cuba ]]></addr-line>
<country>Cuba</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>22</volume>
<numero>9</numero>
<fpage>986</fpage>
<lpage>995</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1029-30192018000900986&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1029-30192018000900986&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1029-30192018000900986&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Se describe el caso clínico de una paciente de 29 años de edad con gestación de 24 semanas y antecedentes de hipertensión arterial crónica, que acudió al Servicio de Urgencias del Hospital Ginecoobstétrico Docente &#8220;Tamara Bunke Bider&#8221; de Santiago de Cuba, por presentar cifras tensionales elevadas, cefalea, epigastralgia y vómitos. Se diagnosticó una preeclampsia sobreañadida y, por los signos de agravamiento, se decidió efectuar laparotomía. Se halló hemoperitoneo y una rotura en lóbulo derecho hepático, de modo que se realizó taponamiento hepático, que luego se retiró. La paciente requirió cuidados intensivos en el Hospital Provincial Docente Clinicoquirúrgico &#8220;Saturnino Lora Torres&#8221; y la evaluación de un equipo multidisciplinario debido a la aparición de complicaciones: síndrome de insuficiencia respiratoria aguda, absceso de pared abdominal, absceso hepático y presunta trombosis ileofemoral. La evolución fue favorable y egresó viva.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT The case report of a 29 year-old patient is described with a pregnancy of 24 weeks and a history of chronic hypertension, so that she went to the emergency Department of "Tamara Bunke Bider" Teaching Gynecological and Obstetrical Hospital in Santiago de Cuba, due to her high values, migraine, epigastralgia and vomits. A overadded preeclampsia was diagnosed and, because of the worsening signs, it was decided to make a laparotomy. A hemoperitoneo and a rupture in hepatic right lobe were found, thus, a hepatic tamponing was carried out which was then retired. The patient required intensive cares in "Saturnino Lora Torres" Teaching Clinical-Surgical Provincial Hospital and the evaluation of a multidisciplinary team due to the emergence of complications: acute respiratory failure syndrome, abdominal wall abscess, hepatic abscess and presumed ileofemoral thrombosis. Her clinical course was favorable and she was discharged alive.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[rotura hepática]]></kwd>
<kwd lng="es"><![CDATA[preeclampsia]]></kwd>
<kwd lng="es"><![CDATA[embarazo]]></kwd>
<kwd lng="en"><![CDATA[liver rupture]]></kwd>
<kwd lng="en"><![CDATA[preeclampsia]]></kwd>
<kwd lng="en"><![CDATA[pregnancy]]></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[Vera]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Lattus]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Barrera]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Campaña]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Kattan]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Rotura hepática asociada a preeclampsia severa y síndrome HELLP, manejo y tratamiento con taponamiento intraabdominal temporal de compresas]]></article-title>
<source><![CDATA[Rev Chil Obstet Ginecol]]></source>
<year>2004</year>
<volume>69</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>319-27</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[Escobar Vidarte]]></surname>
<given-names><![CDATA[MF]]></given-names>
</name>
<name>
<surname><![CDATA[Montes]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Loaiza-Osorio]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Nieto Calbache]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hepatic rupture associated with preeclampsia, report of three cases and literature review]]></article-title>
<source><![CDATA[J Matern Fetal Neonatal Med]]></source>
<year>2018</year>
<volume>27</volume>
<page-range>1-7</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[Marroquín]]></surname>
<given-names><![CDATA[PA]]></given-names>
</name>
<name>
<surname><![CDATA[Cabrera]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Gutiérrez]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Híjar]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Rotura hepática en paciente con preeclampsia severa y síndrome de HELLP]]></article-title>
<source><![CDATA[Rev Per Ginecol Obstet]]></source>
<year>2010</year>
<volume>56</volume>
<page-range>310-2</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[P]]></surname>
<given-names><![CDATA[McCormac L]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez D]]></surname>
<given-names><![CDATA[Clavien PD]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hematoma hepático subcapsular roto con síndrome de HELLP. Revisión de la literatura y reporte de un caso con manejo conservador]]></article-title>
<source><![CDATA[Rev Gastroenterol Perú]]></source>
<year>2006</year>
<volume>26</volume>
<page-range>207-10</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Suárez González]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Corrales Gutiérrez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Gutiérrez Machado]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hematoma subcapsular hepático roto en el curso de un síndrome de HELLP]]></article-title>
<source><![CDATA[Rev Cubana Obstet Ginecol]]></source>
<year>2017</year>
<volume>43</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Juárez Azpilcueta]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Motta Martínez]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Montaño Uzcanga]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Ruptura hepática como complicación de enfermedad hipertensiva del embarazo y síndrome de HELLP]]></article-title>
<source><![CDATA[Gac Méd Méx]]></source>
<year>2003</year>
<volume>139</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>276-80</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hunter]]></surname>
<given-names><![CDATA[SK]]></given-names>
</name>
<name>
<surname><![CDATA[Martin]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Benda]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Zlatnik]]></surname>
<given-names><![CDATA[FJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Liver transplant after massive spontaneous hepatic rupture in pregnancy complicated with preeclampsia]]></article-title>
<source><![CDATA[Obstet Gynecol]]></source>
<year>1995</year>
<volume>85</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>819-22</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[González Espinosa]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Ávila Esquivel]]></surname>
<given-names><![CDATA[JF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Morbimortalidad materna asociada a rotura hepática o hematoma subcapsular por preeclampsia-eclampsia y síndrome de HELLP]]></article-title>
<source><![CDATA[Arch Inv Mat Inf]]></source>
<year>2010</year>
<volume>11</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>51-5</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vigil-De Gracia]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Ortega Paz]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Pre-eclampsia/eclampsia and hepatic rupture]]></article-title>
<source><![CDATA[Int J Gynaecol Obstet]]></source>
<year>2012</year>
<volume>118</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>186-9</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Millán]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
<name>
<surname><![CDATA[Forero]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Right hepatectomy after spontaneous hepatic rupture in a patient with preeclampsia: A case report]]></article-title>
<source><![CDATA[Int J Surg Case Rep]]></source>
<year>2017</year>
<volume>39</volume>
<page-range>250-2</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
