<?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>0001-6002</journal-id>
<journal-title><![CDATA[Acta Médica Costarricense]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. costarric]]></abbrev-journal-title>
<issn>0001-6002</issn>
<publisher>
<publisher-name><![CDATA[Colegio de Médicos y Cirujanos de Costa Rica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0001-60022017000400167</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Migración de fragmentos de catéteres percutáneos en paciente pediátrico]]></article-title>
<article-title xml:lang="en"><![CDATA[Migration of fragmented percutaneous catheter in pediatric patient]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Espinoza-Contreras]]></surname>
<given-names><![CDATA[Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valverde-Muñoz]]></surname>
<given-names><![CDATA[Kathia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Nacional de Niños &#8220;Dr. Carlos Sáenz Herrera&#8221;. Servicio de Hematología ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</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>59</volume>
<numero>4</numero>
<fpage>167</fpage>
<lpage>169</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S0001-60022017000400167&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S0001-60022017000400167&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S0001-60022017000400167&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Los pacientes hemato-oncológicos pediátricos son una población usualmente expuesta a catéteres percutáneos, debido a los tratamientos quimioterapéuticos de larga duración. Entre las complicaciones raras se encuentra la migración de fragmentos del catéter. A pesar de que se reportan diferentes técnicas quirúrgicas para remover los fragmentos, en algunas ocasiones el riesgo de remoción supera el beneficio del paciente. En este artículo se reporta el caso de una niña de 6 años, con diagnóstico de leucemia linfocítica aguda, en quien se produjo migración de un fragmento del catéter percutáneo. La paciente cursó asintomática y se manejó conservadoramente. En la actualidad tiene 1 año y 5 meses desde el diagnóstico de la migración del catéter y se encuentra sin clínica alguna.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract The pediatric hemato-oncological patients are usually exposed to have intravenous percutaneous catheters because of their long-term chemotherapy treatment. One of the unusual complications of the percutaneous catheters is to fragment and one of the fragments to migrate. Although, there are different surgical techniques for the removal of the fragments, sometimes the risk is larger than the benefit for the patient. This article reports the case of a 6 year old pediatric patient with acute lymphoblastic leukemia who suffered the migration of a fragment of a percutaneous device, that was treated conservatively without any complication. At the moment, the patient has 1 year and 5 months from her diagnosis of catheter migration and is completely asymptomatic.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[catéter venoso central]]></kwd>
<kwd lng="es"><![CDATA[fragmentación de catéter]]></kwd>
<kwd lng="es"><![CDATA[leucemia]]></kwd>
<kwd lng="es"><![CDATA[pediatría]]></kwd>
<kwd lng="es"><![CDATA[portacath]]></kwd>
<kwd lng="en"><![CDATA[central venous catheter]]></kwd>
<kwd lng="en"><![CDATA[catheter fragmentation]]></kwd>
<kwd lng="en"><![CDATA[leukemia]]></kwd>
<kwd lng="en"><![CDATA[pediatric]]></kwd>
<kwd lng="en"><![CDATA[portacath]]></kwd>
</kwd-group>
</article-meta>
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