<?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>1688-0390</journal-id>
<journal-title><![CDATA[Revista Médica del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Méd. Urug.]]></abbrev-journal-title>
<issn>1688-0390</issn>
<publisher>
<publisher-name><![CDATA[Sindicato Médico del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-03902017000400084</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Manejo clínico de la equinococosis quística hepática, estadio CE3b, combinando tratamiento médico-estrategia de vigilancia y espera: a propósito de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Clinical management of the hepatic cystic echinococcus, stage CE3b, combining medicaltreatment-surveillance strategy and waiting: a case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Da Rosa]]></surname>
<given-names><![CDATA[Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Acuña]]></surname>
<given-names><![CDATA[Ana María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Figueredo]]></surname>
<given-names><![CDATA[Elisa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Calegari]]></surname>
<given-names><![CDATA[Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez]]></surname>
<given-names><![CDATA[Luis Ruso]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Departamento de Parasitología y Micología, Instituto de Higiene]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Clínica Quirúrgica 3. Hospital Maciel]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<volume>33</volume>
<numero>4</numero>
<fpage>84</fpage>
<lpage>95</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-03902017000400084&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-03902017000400084&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-03902017000400084&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: La hidatidosis o equinococosis quística es una enfermedad zoonótica que tiene presentaciones clínicas muy heterogéneas. Los quistes sintomáticos y complicados habitualmente son resueltos mediante cirugía siguiendo las reglas de la WHO-IWGE. Sin embargo, en las formas transicionales (CE3) los criterios terapéuticos continúan en discusión. Asimismo, en quistes asintomáticos y en pacientes con alto riesgo quirúrgico, la opción del tratamiento médico con benzoimidazólicos y su combinación con la estrategia de vigilar y esperar puede ser una alternativa terapéutica segura. Se presenta un caso de hidatidosis hepática CE3b con características clínico-evolutivas excepcionales y alto riesgo quirúrgico en que se adoptó un manejo de vigilancia clínica y tratamiento con albendazol. Se analizan los beneficios y riesgos de esta terapéutica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Cystic echinococcosis is a zoonotic disease with very heterogeneous clinical presentations. The possibility of symptomatic hepatic cysts be solved by surgery is the conduct of election. However, in asymptomatic cysts and in patients with high surgical risk, medical treatment with benzimidazolic combined with the strategy of watch and wait, may be an option to take into account. In the present work, we take as an example a case of hepatic hydatid disease with high surgical risk and analyze the potential benefits of establishing such therapeutic conduct and monitoring.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: A hidatidose ou equinococose cística é uma doença zoonótica com apresentações clínicas muito heterogêneas. Os cistos sintomáticos e complicados de maneira geral são tratados por cirurgia de acordo com as indicações da WHO- IWGE. No entanto, nos casos de formas transicionais (CE3) os critérios terapêuticos continuam em discussão. Nos cistos assintomáticos e em pacientes com alto risco cirúrgico a opção do tratamento médico com benzoimidazolicos e sua combinação com a estratégia de vigilar e esperar, pode ser uma alternativa terapêutica segura. Apresenta-se um caso de hidatidose hepática CE3b, com características clínico-evolutivas excepcionais e alto risco cirúrgico, no qual utilizou-se um manejo de vigilância clínica e tratamento com albendazol. Os benefícios e os riscos desta tera pêutica são analisados.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Equinococosis hepática]]></kwd>
<kwd lng="es"><![CDATA[benzoimidazoles]]></kwd>
<kwd lng="es"><![CDATA[Vigilancia]]></kwd>
<kwd lng="en"><![CDATA[Hepatic echinococcosis]]></kwd>
<kwd lng="en"><![CDATA[Benzimidazoles]]></kwd>
<kwd lng="en"><![CDATA[Surveillance]]></kwd>
<kwd lng="pt"><![CDATA[Equinococose hepática]]></kwd>
<kwd lng="pt"><![CDATA[Benzimidazóis]]></kwd>
<kwd lng="pt"><![CDATA[Vigilância]]></kwd>
</kwd-group>
</article-meta>
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