<?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>S1688-12492019000300063</article-id>
<article-id pub-id-type="doi">10.31134/ap.90.2.6</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Costilla cervical en pediatría. Presentación de un caso clínico y revisión de la literatura]]></article-title>
<article-title xml:lang="en"><![CDATA[Cervical rib in pediatrics. Clinical case and literature review]]></article-title>
<article-title xml:lang="pt"><![CDATA[Costela cervical em pediatria. Apresentação de caso clínico e revisão da literatura]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Garín]]></surname>
<given-names><![CDATA[Florencia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Notejane]]></surname>
<given-names><![CDATA[Martín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Kenny]]></surname>
<given-names><![CDATA[Juan]]></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 Clínica Quirúrgica Pediátrica]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>90</volume>
<numero>3</numero>
<fpage>63</fpage>
<lpage>71</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-12492019000300063&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-12492019000300063&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-12492019000300063&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  la costilla cervical es una malformación rara que puede dar lugar a diagnósticos diferenciales y que tiene un manejo variable y controvertido.  Objetivo:  describir una observación clínica de costilla cervical, analizar su manejo y revisar la bibliografía relevante acerca del tema.  Observación clínica:  varón de 7 años, sano, en el cual, durante un control en salud, se halla una tumoración supraclavicular izquierda. Este fue estudiado, arribándose al diagnóstico de costilla cervical bilateral asintomática. Se tomó una conducta expectante y a diez meses de evolución el paciente ha permanecido asintomático.  Discusión y revisión bibliográfica:  se destacan los elementos clínicos que deben hacer pensar en el diagnóstico y el potencial de éstos para generar un curso de acción más rápido, con menores molestias para el paciente, menor ansiedad para la familia y menores costos para el sistema. Con base en la revisión bibliográfica, se destaca que la mayoría de los casos pueden manejarse en forma expectante tras informar al paciente y su familia de los elementos que deben motivar una rápida consulta y se mencionan las raras indicaciones de tratamiento activo y las opciones y controversias en torno a éste.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Summary:  Introduction: a cervical rib is an uncommon malformation, that may lead to different diagnoses and to variable and controversial treatment procedures.  Objectives: to describe a cervical rib case, to analyze how it was treated and to review the relevant bibliography.  Clinical observation:  healthy 7-year-old male, on whom a supraclavicular tumor was found during a check-up. He was studied until an asymptomatic bilateral cervical rib diagnosis was reached. We have followed-up the case closely and ten months after the finding the patient remains asymptomatic.  Discussion and literature review:  we have identified clinical elements that may lead to this diagnosis and may speed up the course of action to adopt as well as generate less patient discomfort, less family anxiety and lower system costs. Literature suggests that once the patient and his family have been warned about the symptoms that could require a rapid consultation, most cases can be treated as expected. We also described to them rare indications, available options and controversial issues that may arise.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  costela cervical é uma malformação incomum, que pode levar a diagnósticos diferentes e a procedimentos de tratamento variáveis e controversos.  Objetivos:  descrever um caso de costela cervical, analisar o tratamento e revisar a bibliografia relevante.  Observação clínica:  menino saudável de 7 anos de idade, no qual encontramos um tumor supraclavicular durante um check-up. Ele foi estudado até alcançar o diagnóstico de costela cervical bilateral assintomática. Monitoramos o caso e dez meses após o paciente ainda permanecia assintomático.  Discussão e revisão de literatura:  identificamos elementos clínicos que podem levar a esse diagnóstico e podem acelerar as ações a serem realizadas, bem como gerar menos desconforto ao paciente, menor ansiedade familiar e menor custo do sistema. A literatura sugere que, uma vez que o paciente e sua família tivessem sido alertados sobre os sintomas que poderiam exigir uma consulta rápida, a maioria dos casos poderia ser tratada como esperado. Também descrevemos para eles indicações raras, opções disponíveis e questões controversas que podem surgir.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Síndrome de la costilla cervical]]></kwd>
<kwd lng="es"><![CDATA[Radiografía torácica]]></kwd>
<kwd lng="es"><![CDATA[Pediatría]]></kwd>
<kwd lng="en"><![CDATA[Cervical rib syndrome]]></kwd>
<kwd lng="en"><![CDATA[Thoracic radiography]]></kwd>
<kwd lng="en"><![CDATA[Pediatrics]]></kwd>
<kwd lng="pt"><![CDATA[Síndrome da costela cervical]]></kwd>
<kwd lng="pt"><![CDATA[Radiografia torácica]]></kwd>
<kwd lng="pt"><![CDATA[Pediatria]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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