<?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>1025-0255</journal-id>
<journal-title><![CDATA[Revista Archivo Médico de Camagüey]]></journal-title>
<abbrev-journal-title><![CDATA[AMC]]></abbrev-journal-title>
<issn>1025-0255</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Camagüey]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1025-02552021000500012</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Hematoma duodenal en el adulto: aspectos clínicos imagenológicos. Presentación de tres casos]]></article-title>
<article-title xml:lang="en"><![CDATA[Duodenal hematoma in theadult: clinical imagingaspects.Presentation of three cases]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rivero-García]]></surname>
<given-names><![CDATA[Cristina de la Caridad]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Casola-Cortés]]></surname>
<given-names><![CDATA[Eugenio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Obando-Medina]]></surname>
<given-names><![CDATA[Mario Andrés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Oneill-Gordon]]></surname>
<given-names><![CDATA[Alden Hitesh]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Camagüey. Hospital Universitario Manuel Ascunce Domenech. Servicio de Imagenología.]]></institution>
<addr-line><![CDATA[Camagüey ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas de Camagüey. Hospital Universitario Manuel Ascunce Domenech. Servicio de Politrauma.]]></institution>
<addr-line><![CDATA[Camagüey ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2021</year>
</pub-date>
<volume>25</volume>
<numero>5</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1025-02552021000500012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1025-02552021000500012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1025-02552021000500012&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento:  el hematoma duodenal es una entidad poco frecuente y para su diagnóstico es preciso considerar la existencia de factores de riesgo, las manifestaciones clínicas y el modo de diagnóstico, entre estos, el imagenológico.  Objetivo: mostrar distintas formas clínicas e imagenológicas de presentación del hematoma duodenal según tipo de estudio y tiempo de evolución.  Presentación de casos: se presentaron tres casos de hematoma duodenal diagnosticados en diferentes periodos evolutivos. El antecedente traumático no fue recogido al inicio en dos de ellos pero las investigaciones imagenológicas orientaron su diagnóstico. El vómito y el dolor abdominal estuvieron presentes en los tres, la anemia, el tinte sub-ictérico y la toma del estado general en el caso de diagnóstico tardío de tres meses de evolución. El cuadro oclusivo intestinal alto surge secundario a una endoscopia con escleroterapia por úlcera sangrante en el tercer caso de forma aguda. En la ecografía, la radiografía contrastada del tubo digestivo y la tomografía axial computarizada se apreciaron variaciones del patrón en dependencia al tiempo de evolución. La ecografía como primer estudio detectó la colección en todos ellos y fue útil en el seguimiento, el estudio radiológico contrastado orientó el diagnóstico con predominio de patrón anfractuoso en el caso tardío, y la tomografía ofreció la mayor información.  Conclusiones: para el diagnóstico del hematoma duodenal es necesario tenerlo presente e indagar sobre factores de riesgo, acudir a los medios diagnósticos disponibles y considerar que sus manifestaciones pueden variar según el tiempo de evolución. Se considera la tomografía como examen de elección.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ ABSTRACT  Background:  the duodenal hematoma is an infrequent entity, usually of late diagnosis, which should be made according to risk factors, the clinical manifestations and imaging studies.  Objective:  to show different clinical and imaging forms of presentation of duodenal hematoma according to type of imaging study and time of progress.  Cases reports:  three cases of duodenal hematoma diagnosed in different follow up periods are presented. The history of the trauma was not recorded at the beginning in two cases neither considered as a predisposing factor, but the diagnostic research suspected the diagnosis. Vomiting and abdominal pain was seen in all three cases. Anemia, sub-jaundice dye and malaise were present at three months of follow up. Upper acute intestinal occlusive condition was secondary to endoscopic sclera-therapy due to digestive bleeding in the third case. Ultrasound, contrast radiography of the digestive tube and computerized axial tomography showed variations of the pattern depending on the modifications of the hematoma over time. Ultrasound as the first study detected the collection in all cases and was useful in the follow-up. Contrast radiological study was oriented towards the diagnosis and show predominance of regular patterns in case of late diagnosis. The Tomography achieved a greater diagnostic definition.  Conclusions:  for the diagnosis of duodenal hematoma, it is necessary to take into account and think about risk factors, and the proper management of imaging studies in relation to time of progress. Tomography is the examination of choice.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[DUODENO/lesiones]]></kwd>
<kwd lng="es"><![CDATA[HEMATOMA]]></kwd>
<kwd lng="es"><![CDATA[INFORMES DE CASOS]]></kwd>
<kwd lng="es"><![CDATA[FACTORES DE RIESGO]]></kwd>
<kwd lng="es"><![CDATA[DIAGNÓSTICO POR IMAGEN.]]></kwd>
<kwd lng="en"><![CDATA[DUODENUM/injuries]]></kwd>
<kwd lng="en"><![CDATA[HEMATOMA]]></kwd>
<kwd lng="en"><![CDATA[CASE REPORTS]]></kwd>
<kwd lng="en"><![CDATA[RISK FACTORS]]></kwd>
<kwd lng="en"><![CDATA[DIAGNOSTIC IMAGING.]]></kwd>
</kwd-group>
</article-meta>
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