<?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>1688-1249</journal-id>
<journal-title><![CDATA[Archivos de Pediatría del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Arch. Pediatr. Urug.]]></abbrev-journal-title>
<issn>1688-1249</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Uruguaya de Pediatría]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-12492019000400210</article-id>
<article-id pub-id-type="doi">10.31134/ap.90.4.4</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Desnutrición crónica como manifestación de membrana duodenal congénita: revisión de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Chronic malnutrition as a symptom of congenital duodenal webs: a case study]]></article-title>
<article-title xml:lang="pt"><![CDATA[Desnutrição crônica como manifestação de membrana duodenal congênita: relato de caso]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Curutchague]]></surname>
<given-names><![CDATA[Sofía]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[Loreley]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pietrafesa]]></surname>
<given-names><![CDATA[Damián]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Giachetto]]></surname>
<given-names><![CDATA[Gustavo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,UDELAR Facultad de Medicina Depto. Pediatría]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,UDELAR Facultad de Medicina Depto. Pediatría]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,UDELAR Facultad de Medicina Depto. Pediatría]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,UDELAR Facultad de Medicina Depto. Pediatría]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2019</year>
</pub-date>
<volume>90</volume>
<numero>4</numero>
<fpage>210</fpage>
<lpage>214</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-12492019000400210&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-12492019000400210&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-12492019000400210&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Las membranas duodenales representan una variedad de atresia intestinal congénita que determina obstrucción intestinal, pudiendo ser completa o incompleta. Se trata de una entidad de baja prevalencia. Cuando las membranas son fenestradas y la obstrucción intestinal incompleta, el pasaje inicial de líquidos durante la lactancia exclusiva puede asociarse con manifestaciones tardías y retraso en el diagnóstico. Se describe el caso de una niña, con un buen crecimiento durante la lactancia exclusiva, que presentó una desnutrición crónica como manifestación tardía de una membrana duodenal congénita fenestrada. Los estudios primarios realizados buscando la etiología de la desnutrición al inicio del cuadro resultaron sin alteraciones, arribándose al diagnóstico a los 13 meses de edad debido a un episodio de oclusión intestinal. El objetivo es alertar al pediatra sobre una causa poco frecuente de desnutrición luego del primer semestre de vida y analizar su abordaje diagnóstico y terapéutico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Summary: Duodenal webs are a type of congenital intestinal atresia, which can cause complete or incomplete intestinal obstruction and whose prevalence is low. Sometimes, in case of fenestrated membranes and incomplete intestinal obstruction, the initial passage of liquids during exclusive breastfeeding can be linked to a late appearance and diagnosis. We hereby describe the case of a girl who showed chronic malnutrition as a late symptom of a congenital fenestrated duodenal membrane. Initial tests in search of the etiology of the malnutrition did not show alterations, and we reached a diagnosis at 13 months of age, after an intestinal obstruction. The purpose of this study is to raise pediatricians&#8217; awareness regarding an uncommon cause of malnutrition after the first six months of age and to analyze how to deal with the diagnosis and therapy.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: As membranas duodenais são uma variedade de atresia intestinal congênita, que determina a obstrução intestinal que pode ser completa ou incompleta e é de baixa prevalência. Quando as membranas estão fenestradas e a obstrução intestinal e incompleta, a passagem inicial de líquidos durante a amamentação exclusiva pode estar associada a manifestações tardias e ao atraso no diagnóstico. Descrevemos aqui o caso de uma menina com bom crescimento durante a amamentação exclusiva, que apresentou desnutrição crônica como manifestação tardia duma membrana duodenal congênita fenestrada. Os estudos primários procurando a etiologia da desnutrição no início dos sintomas estavam inalterados, porém nós chegamos ao diagnóstico aos 13 meses de idade devido a um episódio de oclusão intestinal. O objetivo deste estudo é alertar o pediatra sobre uma causa rara de desnutrição após do primeiro semestre de vida e analisar a sua abordagem diagnóstica e terapêutica.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Obstrucción duodenal]]></kwd>
<kwd lng="es"><![CDATA[Anomalías congénitas]]></kwd>
<kwd lng="es"><![CDATA[Desnutrición]]></kwd>
<kwd lng="en"><![CDATA[Duodenal obstruction]]></kwd>
<kwd lng="en"><![CDATA[Congenital abnormalities]]></kwd>
<kwd lng="en"><![CDATA[Malnutrition]]></kwd>
<kwd lng="pt"><![CDATA[Obstrução duodenal]]></kwd>
<kwd lng="pt"><![CDATA[Anormalidades congênitas]]></kwd>
<kwd lng="pt"><![CDATA[Desnutrição.]]></kwd>
</kwd-group>
</article-meta>
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