<?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>1012-2966</journal-id>
<journal-title><![CDATA[Gaceta Médica Boliviana]]></journal-title>
<abbrev-journal-title><![CDATA[Gac Med Bol]]></abbrev-journal-title>
<issn>1012-2966</issn>
<publisher>
<publisher-name><![CDATA[Facultad de Medicina de la Universidad Mayor de San Simón]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1012-29662021000200244</article-id>
<article-id pub-id-type="doi">10.47993/gmb.v44i2.237</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Hidronefrosis Unilateral Gigante en Adulto]]></article-title>
<article-title xml:lang="en"><![CDATA[Giant Unilateral Hydronephrosis in Adult]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferrufino Iriarte]]></surname>
<given-names><![CDATA[Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López Ovando]]></surname>
<given-names><![CDATA[Nicol]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gil Oporto]]></surname>
<given-names><![CDATA[Bernardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Clínica &#8220;Cobija&#8221;  ]]></institution>
<addr-line><![CDATA[Cochabamba ]]></addr-line>
<country>Bolivia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Mayor de San Simón Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Cochabamba ]]></addr-line>
<country>Bolivia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Clínica &#8220;Cobija&#8221;  ]]></institution>
<addr-line><![CDATA[Cochabamba ]]></addr-line>
<country>Bolivia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<volume>44</volume>
<numero>2</numero>
<fpage>244</fpage>
<lpage>248</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_arttext&amp;pid=S1012-29662021000200244&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_abstract&amp;pid=S1012-29662021000200244&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_pdf&amp;pid=S1012-29662021000200244&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La hidronefrosis gigante es una entidad urológica que se define por la presencia de más de 1.000 ml de líquido en el sistema colector renal o un riñón que representa más del 1,6% del peso corporal. La causa más común es la obstrucción de la unión ureteropiélica, siendo una presentación poco común en adultos y que puede provocar complicaciones a largo plazo como hipertensión, ruptura del riñón, insuficiencia renal y cambios malignos. La nefrectomía es el tratamiento de elección. Se presenta el caso de un paciente de 21 años de edad, sometido a una nefrectomía laparoscópica transperitoneal derecha obteniendo un riñón excluido con aproximadamente 2600 ml de orina sui generis. Se informa este caso, porque es una patología poco descrita en la literatura, con un número limitado de casos en adultos y para demostrar la posibilidad de abordaje laparoscópico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Giant hydronephrosis is a urological entity defined by the presence of more than 1,000 ml of fluid in the renal collecting system or a kidney that represents more than 1.6% of body weight. The most common cause is obstruction of the ureteropelvic junction, being an uncommon presentation in adults and can lead to long-term complications such as hypertension, kidney rupture, renal failure and malignant changes. Nephrectomy is the treatment of choice. We present the case of a 21-year-old patient who underwent a right transperitoneal laparoscopic transperitoneal nephrectomy obtaining a kidney with approximately 2600 ml of sui generis urine. The reason for reporting this case is that this is a pathology rarely described in the literature, with a limited number of cases in adults, and to demonstrate the possibility of a laparoscopic approach.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[hidronefrosis]]></kwd>
<kwd lng="es"><![CDATA[urología]]></kwd>
<kwd lng="es"><![CDATA[nefrectomía]]></kwd>
<kwd lng="es"><![CDATA[laparoscopía]]></kwd>
<kwd lng="es"><![CDATA[ureteropiélica]]></kwd>
<kwd lng="en"><![CDATA[hydronephrosis]]></kwd>
<kwd lng="en"><![CDATA[urology]]></kwd>
<kwd lng="en"><![CDATA[nephrectomy]]></kwd>
<kwd lng="en"><![CDATA[laparoscopy]]></kwd>
<kwd lng="en"><![CDATA[ureteropyelic]]></kwd>
</kwd-group>
</article-meta>
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