<?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>1726-8958</journal-id>
<journal-title><![CDATA[Revista Médica La Paz]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Méd. La Paz]]></abbrev-journal-title>
<issn>1726-8958</issn>
<publisher>
<publisher-name><![CDATA[Colegio Médico de La Paz]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1726-89582025000100021</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[GASTROSQUISIS CON CIERRE PRIMARIO: REPORTE DE CASO]]></article-title>
<article-title xml:lang="en"><![CDATA[GASTROSCHISIS WITH PRIMARY CLOSURE: CASE REPORT]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Contreras]]></surname>
<given-names><![CDATA[J. Artemio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rafaelano]]></surname>
<given-names><![CDATA[Alexander]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pat]]></surname>
<given-names><![CDATA[Oswaldo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gastelum]]></surname>
<given-names><![CDATA[Omar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ledezma]]></surname>
<given-names><![CDATA[Laydi]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General de Mazatlán &#8220;Dr. Martiniano Carvajal - México&#8221; 3er año de Ginecología y Obstetricia ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Naval de Especialidades de Mazatlán Departamento de Medicina Materno Fetal ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital General de Mazatlán &#8220;Dr. Martiniano Carvajal - Mexico&#8221; Cirujano Pediatra, Médico Adscrito ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital General de Mazatlán &#8220;Dr. Martiniano Carvajal - Mexico&#8221; Ginecologo - Obstetra, Médico Adscrito ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af5">
<institution><![CDATA[,Caja Nacional de Salud Servicio de Obstetricia del Hospital Materno Infantil ]]></institution>
<addr-line><![CDATA[La Paz ]]></addr-line>
<country>Bolivia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<volume>31</volume>
<numero>1</numero>
<fpage>21</fpage>
<lpage>24</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_arttext&amp;pid=S1726-89582025000100021&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_abstract&amp;pid=S1726-89582025000100021&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_pdf&amp;pid=S1726-89582025000100021&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La gastrosquisis es un defecto de la pared ventral con protrusión visceral del lado derecho la cual no se encuentra cubierta por membranas, con una incidencia de 4.5 a 5 por cada 10, 000 nacidos vivos. El objetivo de este reporte de caso es identificar los criterios de complejidad para predecir una gastrosquisis simple o compleja y su predicción para realizar cierre primario. Se atendió una paciente primigesta de 17 años, feto con gastrosquisis diagnosticado desde el primer trimestre de embarazo, acudió para resolución del embarazo en tercer trimestre con trabajo de parto en fase latente, como hallazgos relevantes en la ecografía se encontró Restricción de Crecimiento Intrauterino (RCIU) tipo 1 y un defecto ventral de 20 mm con prolapso intestinal, engrosamiento de 2 mm y distensión de 28 mm, sin criterios de complejidad. Se realizó cesárea tipo Kerr, obteniendo recién nacido con prolapso intestinal sin isquemia, se realizó cierre primario con técnica SIMIL.EXIT. Es importante realizar un diagnóstico prenatal oportuno en pacientes con gastrosquisis e identificar los criterios de complejidad para predecir el tipo de cierre del defecto en manejo conjunto con cirugíaa pediátrica y tener un mejor pronóstico para el recién nacido.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Gastroschisis is a defect of the ventral wall with visceral protrusion of the right side which is not covered by membranes, with an incidence of 4.5 to 5per 10,000 live births. The objective of this case report is to identify the complexity criteria to predict a simple or complex gastroschisis and its prediction to perform primary closure. A 17-year-old primigestational patient was attended, fetus with gastroschisis diagnosed since the first trimester of pregnancy, attended for resolution of pregnancy in third trimester with labor in latent phase, as relevant findings in the ultrasound were found Intrauterine Growth Restriction (IUGR) type 1 and a ventral defect of 20 mm with intestinal prolapse, thickening of 2 mm and distension of 28 mm, without complexity criteria. Kerr cesarean section was performed, obtaining a newborn with intestinal prolapse without ischemia, primary closure was performed with SIMIL.EXIT technique. It is important to perform a timely prenatal diagnosis in patients with gastroschisis and to identify the complexity criteria to predict the type of closure of the defect in conjunction with pediatric surgery and to have a better prognosis for the newborn.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Gastrosquisis]]></kwd>
<kwd lng="es"><![CDATA[prolapso intestinal]]></kwd>
<kwd lng="es"><![CDATA[diagnóstico prenatal]]></kwd>
<kwd lng="en"><![CDATA[Gastroschisis]]></kwd>
<kwd lng="en"><![CDATA[intestinal prolapse]]></kwd>
<kwd lng="en"><![CDATA[prenatal diagnosis]]></kwd>
</kwd-group>
</article-meta>
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