<?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>1028-4818</journal-id>
<journal-title><![CDATA[Multimed]]></journal-title>
<abbrev-journal-title><![CDATA[Multimed]]></abbrev-journal-title>
<issn>1028-4818</issn>
<publisher>
<publisher-name><![CDATA[Centro Provincial de Información de Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1028-48182021000200012</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Mucocele apendicular simulando apendicitis aguda complicada]]></article-title>
<article-title xml:lang="en"><![CDATA[Appendicular mucocele simulating complicated acute appendicitis]]></article-title>
<article-title xml:lang="pt"><![CDATA[Mucocele apendicular simulando apendicite aguda complicada]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Araluce Romero]]></surname>
<given-names><![CDATA[Rafael Alaín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fonseca Sosa]]></surname>
<given-names><![CDATA[Fernando Karel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vallejo Licea]]></surname>
<given-names><![CDATA[Jonnes]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cuevas Menoya]]></surname>
<given-names><![CDATA[Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tamayo Reyes]]></surname>
<given-names><![CDATA[Leonardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Granma Hospital Provincial Clínico-Quirúrgico Docente Celia Sánchez Manduley ]]></institution>
<addr-line><![CDATA[Manzanillo Granma]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2021</year>
</pub-date>
<volume>25</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1028-48182021000200012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1028-48182021000200012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1028-48182021000200012&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: el término «mucocele», una denominación no específica y descriptiva referida a una acumulación mucosa anormal dentro de la luz del apéndice, independientemente de la causa subyacente, es una afección clínica rara que con poca frecuencia se considera en el diagnóstico diferencial de las lesiones localizadas en el cuadrante inferior derecho del abdomen.  Objetivo: presentar un paciente con diagnóstico preoperatorio de apendicitis aguda complicada que fue intervenido quirúrgicamente de urgencia y se le diagnosticó finalmente un mucocele apendicular.  Presentación del caso:  paciente masculino de 52 años que fue admitido en la Unidad de Cuidados Intensivos y Emergentes por presentar dolor en la región lumbar derecha que se irradió a fosa iliaca derecha. Se acompañó de náuseas, vómitos abundantes, fiebre de 38,5-390 C, sed, oliguria, astenia y anorexia.  Discusión: a la exploración física presentó mucosas pálidas y ligeramente secas, pulso débil y taquicárdico, hipotensión arterial, abdomen ligeramente distendido, doloroso a la palpación profunda en fosa ilíaca derecha. Los estudios imagenológicos sugirieron una colección apendicular. Con la sospecha clínica de apendicitis aguda complicada y ante la duda diagnóstica se decidió realizar laparotomía exploradora de urgencia. Durante el transoperatorio se identificó un mucocele apendicular. La histología confirmó un mucocele apendicular sin evidencia de origen neoplásico. El paciente evolucionó satisfactoriamente y se le dio de alta al cuarto dia posoperatorio.  Conclusiones: el mucocele apendicular es una afección clínica-quirúrgica que, a pesar de ser conocida, su incidencia es muy baja; siendo el diagnóstico preoperatorio difícil por la variedad en su presentación clínica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: the term «mucocele», a nonspecific and descriptive name referring to an abnormal mucous accumulation within the lumen of the appendix, regardless of the underlying cause, is a rare clinical condition that is infrequently considered in the differential diagnosis of the lesions located in the lower right quadrant of the abdomen.  Objective: to present a patient with a preoperative diagnosis of complicated acute appendicitis who underwent emergency surgery and was finally diagnosed with an appendicular mucocele.  Clinical case:  52-year-old male patient who was admitted to the Emergency and Intensive Care Unit for presenting pain in the right lumbar region that radiated to the right iliac fossa. He was accompanied by nausea, profuse vomiting, fever of 38.5-390 C, thirst, oliguria, asthenia, and anorexia.  Discussion: on physical examination, she presented pale and slightly dry mucous membranes, weak and tachycardic pulse, arterial hypotension, slightly distended abdomen, painful on deep palpation in the right iliac fossa. Imaging studies suggested an appendicular collection. With the clinical suspicion of complicated acute appendicitis and the diagnostic doubt, it was decided to perform emergency exploratory laparotomy. During the intraoperative period, anappendicular mucocele was identified. Histology confirmed an appendicular mucocele with no evidence of neoplastic origin. The patient evolved satisfactorily and was discharged on the fourth postoperative day.  Conclusions: the appendicular mucoceleis a clinical-surgical condition that, despite being known, its incidence is very low; being the preoperative diagnosis difficult due to the variety in its clinical presentation.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Introdução: o termo "mucocele", nome inespecífico e descritivo que se refere a um acúmulo anormal de muco dentro da luz do apêndice, independente da causa subjacente, é uma condição clínica rara, raramente considerada no diagnóstico diferencial das lesões localizado no quadrante inferior direito do abdômen.  Objetivo: apresentar um paciente com diagnóstico pré-operatório de apendicite aguda complicada, submetido a cirurgia de urgência e com diagnóstico de mucocele apendicular.  Caso clínico:  Paciente do sexo masculino, 52 anos, que deu entrada no Pronto Socorro e na Unidade de Terapia Intensiva por apresentar dor em região lombar direita com irradiação para fossa ilíaca direita. Foi acompanhada de náuseas, vômitos profusos, febre 38,5-390 C, sede, oligúria, astenia e anorexia.  Discussão:  ao exame físico apresentava mucosas pálidas e levemente ressecadas, pulso fraco e taquicárdico, hipotensão arterial, abdome levemente distendido, doloroso à palpação profunda em fossa ilíaca direita. Estudos de imagem sugeriram uma coleção apendicular. Com a suspeita clínica de apendicite aguda complicada e a dúvida diagnóstica, optou-se pela realização de laparotomia exploradora de emergência. No intraoperatório, foi identificada mucocele apendicular. A histologia confirmou uma mucocele apendicular sem evidência de origem neoplásica. A paciente evoluiu satisfatoriamente e recebeu alta hospitalar no quarto dia de pós-operatório.  Conclusões: amucocele apendicular é uma condição clínico-cirúrgica que, apesar de conhecida, é muito baixa; sendo o diagnóstico pré-operatório difícil pela variedade de sua apresentação clínica.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Mucocele apendicular]]></kwd>
<kwd lng="es"><![CDATA[Apendicitis aguda]]></kwd>
<kwd lng="es"><![CDATA[Abdomen agudo.]]></kwd>
<kwd lng="en"><![CDATA[Appendicular mucocele]]></kwd>
<kwd lng="en"><![CDATA[Acute appendicitis]]></kwd>
<kwd lng="en"><![CDATA[Acute abdomen]]></kwd>
<kwd lng="pt"><![CDATA[Mucocele apendicular]]></kwd>
<kwd lng="pt"><![CDATA[Apendicite aguda]]></kwd>
<kwd lng="pt"><![CDATA[Abdome agudo]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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