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=> array:1 [ 0 => "adrianhuergo1978@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Pedro" "apellidos" => "Amor Martín" ] 2 => array:2 [ "nombre" => "Marta" "apellidos" => "Álvarez Posadilla" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Aparato Digestivo, Hospital Álvarez Buylla, Mieres del Camino, Asturias, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "<span class="elsevierStyleItalic">Corresponding author</span>." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "<span class="elsevierStyleItalic">Shock</span> séptico secundario a síndrome de Mirizzi resuelto en 2 tiempos" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1000 "Ancho" => 1000 "Tamanyo" => 59215 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 70-year-old woman was admitted for acute cholecystitis and choledocholithiasis with clinical deterioration after 12<span class="elsevierStyleHsp" style=""></span>h due to septic shock secondary to cholangitis. Urgent ERCP detected dilatation of the proximal bile duct secondary to compression by a 2<span class="elsevierStyleHsp" style=""></span>cm calculus lodged in the cystic duct (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). Given the patient's clinical situation, a double pigtail plastic stent was implanted to alleviate the biliary obstruction (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>), performing partial cholecystectomy and closure over the Kehr tube with extraction of the lithiasis 11 days later after the patient's status had improved.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Huergo Fernández A, Amor Martín P, Álvarez Posadilla M. <span class="elsevierStyleItalic">Shock</span> séptico secundario a síndrome de Mirizzi resuelto en 2 tiempos. Cir Esp. 2018;96:653.</p>" ] ] "multimedia" => array:2 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1000 "Ancho" => 1000 "Tamanyo" => 59215 ] ] ] 1 => array:6 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1000 "Ancho" => 1000 "Tamanyo" => 57010 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735077/0000009600000010/v1_201812150633/S2173507718302126/v1_201812150633/en/main.assets" "Apartado" => array:4 [ "identificador" => "15075" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Image of the month" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735077/0000009600000010/v1_201812150633/S2173507718302126/v1_201812150633/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173507718302126?idApp=UINPBA00004N" ]
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