<?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>1729-519X</journal-id>
<journal-title><![CDATA[Revista Habanera de Ciencias Médicas]]></journal-title>
<abbrev-journal-title><![CDATA[Rev haban cienc méd]]></abbrev-journal-title>
<issn>1729-519X</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de la Habana]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1729-519X2021000500009</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Acquired Grynfelt-Lesshaft hernia in a teenager patient]]></article-title>
<article-title xml:lang="es"><![CDATA[Hernia de Grynfelt-Lesshaft adquirida en paciente adolescente]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Macías Muñoz]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vázquez Gutiérrez]]></surname>
<given-names><![CDATA[Giselle Lucila]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[de la Rosa Santana]]></surname>
<given-names><![CDATA[Jesús Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Pediátrico &#8220;Hermanos Cordové&#8221;  ]]></institution>
<addr-line><![CDATA[Granma ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas de Granma  ]]></institution>
<addr-line><![CDATA[Granma ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Policlínico Docente &#8220;René Vallejo Ortiz&#8221;  ]]></institution>
<addr-line><![CDATA[Granma ]]></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>20</volume>
<numero>5</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1729-519X2021000500009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1729-519X2021000500009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1729-519X2021000500009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Lumbar hernia (LH) is rarely found in teenager patients. There is an increased incidence of traumatic etiology of LH related to new diagnostic methods. LH has been frequently misdiagnosed as other surgical entities. A case of acquired primary superior lumbar hernia in a teenager patient with no previous history of surgical diseases is presented.  Objective: To specify the keys for the diagnosis of acquired Grynfeltt-Lesshaft hernia in a teenager patient.  Case Presentation:  A 14-year-old African-American male patient who complained of an occasionally painful swelling over the left side of the lumbar region was clinically diagnosed with a Grynfelt-Lesshaft hernia which was confirmed by CT scan. The patient was operated on with a transverse incision over the tumour for the lumpectomy. The contents were reduced, and the 1cm x 1cm ring with no sac was closed and reinforced with a polyester fibre prosthetic mesh. No immediate complications were observed. The patient was discharged from the health care center five days after the procedure.  Conclusions:  The Grynfelt-Lesshaft hernia is an uncommon surgical condition related to a congenital or acquired etiology. The available advances in the diagnostic methods allow us to easily identify a Grynfelt-Lesshaft hernia in younger patients.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La hernia lumbar (HL) es una hernia que raramente se encuentra en pacientes adolescentes. Existe una mayor incidencia de etiología traumática de la HL relacionada con los nuevos métodos de diagnóstico. La HL suele ser mal diagnosticada como otras entidades quirúrgicas. Se presenta un caso de HL primaria superior adquirida en un paciente adolescente sin antecedentes de afecciones quirúrgicas.  Objetivo:  Precisar las claves diagnosticas de la Hernia de Grynfelt-Lesshaft adquirida en paciente adolescente.  Presentación del caso:  Paciente varón de raza negra, con 14 años de edad que presentó un incremento de volumen ocasionalmente doloroso en el lado izquierdo de la región lumbar, fue diagnosticado clínicamente con una hernia de Grynfelt-Lesshaft. El diagnóstico se confirmó por una tomografía computarizada. El paciente fue intervenido quirúrgicamente con una incisión de lumpectomía transversal sobre el tumor. Se redujo el contenido y se cerró el anillo de 1cm x 1cm sin saco y se reforzó con una malla protésica de fibra de poliéster. No se observaron complicaciones inmediatas y el paciente fue dado de alta de la institución cinco días después del procedimiento.  Conclusiones:  La hernia de Grynfelt-Lesshaft es una condición quirúrgica poco común relacionada con una etiología congénita o adquirida. Los avances en los métodos de diagnóstico disponibles permiten identificar sin dificultades una hernia de Grynfelt-Lesshaft en pacientes jóvenes.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[hernia]]></kwd>
<kwd lng="en"><![CDATA[surgery]]></kwd>
<kwd lng="en"><![CDATA[pediatrics]]></kwd>
<kwd lng="en"><![CDATA[adolescent]]></kwd>
<kwd lng="en"><![CDATA[surgical procedures]]></kwd>
<kwd lng="es"><![CDATA[hernia]]></kwd>
<kwd lng="es"><![CDATA[cirugía]]></kwd>
<kwd lng="es"><![CDATA[pediatría]]></kwd>
<kwd lng="es"><![CDATA[adolescente]]></kwd>
<kwd lng="es"><![CDATA[procedimientos quirúrgicos]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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