<?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>0034-7493</journal-id>
<journal-title><![CDATA[Revista Cubana de Cirugía]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Cir]]></abbrev-journal-title>
<issn>0034-7493</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-74932019000200013</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Abdomen agudo secundario a torsión de bazo ectópico como causa inusual de dolor abdominal en urgencias]]></article-title>
<article-title xml:lang="en"><![CDATA[Acute Abdomen After Ectopic Spleen Torsion as an Unusual Cause of Abdominal Pain in the Emergency Department]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valle Alonso]]></surname>
<given-names><![CDATA[Joaquín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Marante]]></surname>
<given-names><![CDATA[Carlos Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bandera]]></surname>
<given-names><![CDATA[Sorelis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Servicio de Urgencias Royal Bournemouth Hospital ]]></institution>
<addr-line><![CDATA[Bournemouth ]]></addr-line>
<country>Reino Unido</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Policlínico-Hospital Pediátrico Docente &#8220;Raúl Gómez García&#8221;  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>58</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-74932019000200013&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-74932019000200013&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-74932019000200013&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN El bazo ectópico es una enfermedad infrecuente, que se caracteriza por el aumento de la movilidad del bazo debido a la ausencia o laxitud de sus ligamentos suspensorios, lo que puede dar lugar a una torsión de su pedículo, y provocar un abdomen agudo. Se presenta el caso de una mujer de 29 años que acude al servicio de urgencias por presentar dolor abdominal de 7 meses de evolución, localizado en fosa ilíaca izquierda, que ha empeorado en las últimas 48 horas. Se realizó ecografía en el servicio de urgencias (point-of-care) que mostró una imagen compatible con bazo ectópico junto a su hilio, localizado en tercio inferior del abdomen cerca de la vejiga y del útero, y líquido libre. La tomografía axial computarizada confirmó el diagnóstico de torsión del pedículo. Se realizó laparotomía de urgencia y se localizó el bazo dentro de la pelvis con torsión del pedículo; ante un bazo no viable se realizó esplenectomía. La histología demostró cambios trombóticos difusos con infartos isquémicos y hemorrágicos del bazo. A pesar de su baja prevalencia, el bazo ectópico se debe tener en cuenta a la hora de realizar el diagnóstico diferencial en aquellas mujeres en edad fértil que consultan por dolor abdominal o masa pélvica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Ectopic spleen is a rare disease, characterized by increased mobility of the spleen due to the absence or laxity of its suspensory ligaments, which can lead to torsion of its pedicle and cause acute abdomen. We present the case of a 29-year-old woman who attends the emergency department with abdominal pain of seven months of evolution and located in the left iliac fossa, which has worsened in the last 48 hours. An ultrasound was performed in the emergency department (point-of-care), which showed, next to its hilum, an image consistent with ectopic spleen, located in the lower third of the abdomen near the bladder and uterus, and free fluid. Computed axial tomography confirmed the diagnosis of pedicle torsion. Emergency laparotomy was performed and the spleen was located inside the pelvis with torsion of the pedicle. Splenectomy was performed before a non-viable spleen. Histology showed diffuse thrombotic changes with ischemic and hemorrhagic infarcts of the spleen. Despite its low prevalence, the ectopic spleen should be taken into account when making the differential diagnosis in those women at childbearing age who come to the clinic for abdominal pain or pelvic mass.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[bazo ectópico]]></kwd>
<kwd lng="es"><![CDATA[dolor abdominal]]></kwd>
<kwd lng="es"><![CDATA[diagnóstico]]></kwd>
<kwd lng="en"><![CDATA[ectopic spleen]]></kwd>
<kwd lng="en"><![CDATA[abdominal pain]]></kwd>
<kwd lng="en"><![CDATA[diagnosis]]></kwd>
</kwd-group>
</article-meta>
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</name>
<name>
<surname><![CDATA[Ribeiro]]></surname>
<given-names><![CDATA[M Jr]]></given-names>
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<article-title xml:lang=""><![CDATA[Torsion of a wandering spleen treated with partial splenectomy and splenopexy]]></article-title>
<source><![CDATA[J Emerg Med]]></source>
<year>2013</year>
<volume>44</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>33-6</page-range></nlm-citation>
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</article>
