<?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>0138-6557</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina Militar]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. cuban. med. mil.]]></abbrev-journal-title>
<issn>0138-6557</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0138-65572023000100031</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Hematoma de la vaina de los rectos abdominales en el curso de la COVID-19]]></article-title>
<article-title xml:lang="en"><![CDATA[Hematoma of the rectus abdominis sheath in the course of COVID-19]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nuñez Martínez]]></surname>
<given-names><![CDATA[Jorge Félix]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Madruga Vásquez]]></surname>
<given-names><![CDATA[Catherine]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bouza Denis]]></surname>
<given-names><![CDATA[Iliana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Militar &#8220;Dr. Mario Muñoz Monroy&#8221; Unidad de Cuidados Intensivos ]]></institution>
<addr-line><![CDATA[ Matanzas]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Pediátrico &#8220;Eliseo Noel Caamaño&#8221; Unidad de Atención a Enfermedades Respiratorias ]]></institution>
<addr-line><![CDATA[ Matanzas]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2023</year>
</pub-date>
<volume>52</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0138-65572023000100031&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0138-65572023000100031&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0138-65572023000100031&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  El hematoma espontáneo de la pared abdominal constituye una entidad clínica poco frecuente en la práctica médica. En el contexto de la COVID-19 el hematoma intraabdominal se presentó como complicación de la terapéutica impuesta y no fue tomado en consideración al realizar el diagnóstico diferencial del dolor abdominal e hipotensión arterial.  Objetivo:  Reportar la aparición de hematoma de la vaina de los rectos abdominales como complicación del empleo de anticoagulantes en el curso del tratamiento de la COVID-19.  Caso clínico:  Se presenta una paciente de 71 años de edad con la COVID-19 que se encontraba con tratamiento anticoagulante y comenzó con dolor abdominal agudo, con ecografía abdominal que no fue concluyente, se realizó laparotomía y se encontró gran hematoma en el espacio de Retzius. Evolucionó favorablemente y es dada de alta a los 7 días.  Conclusiones:  El diagnóstico transoperatorio conjuntamente con el drenaje del hematoma y la fluidoterapia oportuna permitió una evolución favorable y la recuperación de la paciente.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Spontaneous abdominal wall hematoma is a rare clinical entity in medical practice. In the context of COVID-19, intra-abdominal hematoma presented as a complication of the imposed therapy and was not taken into consideration when making the differential diagnosis of abdominal pain and arterial hypotension.  Objective:  To report the appearance of rectus abdominis sheath hematoma as a complication of the use of anticoagulants in the course of COVID-19 treatment.  Clinical case:  A 71-year-old patient with COVID-19 is presented who was receiving anticoagulant treatment and began with acute abdominal pain, with abdominal ultrasound that was inconclusive, laparotomy was performed and a large hematoma was found in the abdominal Retzius space. She evolved favourably and is discharged after 7 days.  Conclusions:  The trans-operative diagnosis together with the drainage of the hematoma and the opportune fluid therapy allowed a favourable evolution and the recovery of the patient.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[dolor abdominal]]></kwd>
<kwd lng="es"><![CDATA[hematoma]]></kwd>
<kwd lng="es"><![CDATA[anticoagulantes]]></kwd>
<kwd lng="en"><![CDATA[abdominal pain]]></kwd>
<kwd lng="en"><![CDATA[hematoma]]></kwd>
<kwd lng="en"><![CDATA[anticoagulants]]></kwd>
</kwd-group>
</article-meta>
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