<?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>1561-3194</journal-id>
<journal-title><![CDATA[Revista de Ciencias Médicas de Pinar del Río]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Ciencias Médicas]]></abbrev-journal-title>
<issn>1561-3194</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1561-31942020000500019</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Gangrena de Fournier secundaria a apendicitis aguda perforada en hernia de Amyand de adulto mayor]]></article-title>
<article-title xml:lang="en"><![CDATA[Fournier&#8217;s gangrene secondary to acute perforated appendix in Amyand&#8217;s hernia in an older adult]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Iglesias Díaz]]></surname>
<given-names><![CDATA[Gladys]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Collazo Velazco]]></surname>
<given-names><![CDATA[Yunior]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Pinar del Río Hospital Provincial Clínico Quirúrgico Docente &#8220;Dr. León Cuervo Rubio&#8221; ]]></institution>
<addr-line><![CDATA[Pinar del Río ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2020</year>
</pub-date>
<volume>24</volume>
<numero>5</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1561-31942020000500019&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1561-31942020000500019&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1561-31942020000500019&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  la Hernia de Amyand es infrecuente, su diagnóstico es habitual en el transoperatorio, mientras que la gangrena de Fournier es una gangrena infecciosa aguda que afecta al escroto, pene o periné, producida por organismos gram negativos, bacilos entéricos, y anaerobios, usualmente resultante de un trauma local, procedimientos quirúrgicos o enfermedad del tracto urinario, es infrecuente y de pronóstico letal.  Presentación de caso:  hombre de 93 años que sufrió de un trauma sobre la región inguinal donde era portador de una hernia inguinal y 21 días después comenzó a presentar un cuadro séptico a este nivel que alcanzaba el periné y testículo derecho. Se realizó necrectomía, orquiectomía derecha y herniorrafia. Dada la salida de pus por el canal inguinal, fue necesaria una laparotomía, se comprobó que el origen de la gangrena fue secundaria a una apendicitis perforada por un fecalito en el saco herniario, luego de su recuperación se realizó cierre diferido de la bolsa escrotal.  Conclusiones:  la Hernia de Amyand y la Gangrena de Fournier son ambos de presentación rara, aunque su concomitancia no es frecuente. La supervivencia del paciente motivó a presentar el caso como un logro de la Medicina.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Amyand&#8217;s Hernia is rare; it is commonly diagnosed during transoperative period, while Fournier&#8217;s gangrene is an acute infection affecting the scrotum, penis and perineum aggravated by gram-negative organisms, enteric and anaerobic bacilli, usually resulting from a local trauma, surgical procedures or urinary tract infection, it is not frequent and has a fatal diagnosis.  Case Report:  a 93-year-old man who suffered a trauma on the inguinal region where he had an inguinal hernia, 21 days after the trauma he started a septic infection that affected the perineum and right testicle; necrectomy, right orchiectomy and herniorrhaphy were completed. Given the discharge of pus through the inguinal channel, a laparotomy was necessary to provide evidences that the origin of gangrene was secondary to a perforated appendix due to a fecalith in the hernial sac, after his recovery a differed closing of the scrotal bursa was performed.  Conclusions:  Amyand&#8217;s hernia and Fournier&#8217;s gangrene both are of rare presentation, but both simultaneously is not frequent, besides the fact of having achieved the survival of an old man, was the motivation to present this case, as an achievement of medical practice when the patient is properly managed by health professionals.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[GANGRENA DE FOURNIER]]></kwd>
<kwd lng="es"><![CDATA[PERINEO]]></kwd>
<kwd lng="es"><![CDATA[APENDICITIS]]></kwd>
<kwd lng="en"><![CDATA[FOURNIER GANGRENE]]></kwd>
<kwd lng="en"><![CDATA[PERINEUM]]></kwd>
<kwd lng="en"><![CDATA[APPENDICITIS]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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</article>
