<?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>1608-8921</journal-id>
<journal-title><![CDATA[Gaceta Médica Espirituana]]></journal-title>
<abbrev-journal-title><![CDATA[Gac Méd Espirit]]></abbrev-journal-title>
<issn>1608-8921</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Sancti Spíritus]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1608-89212019000200121</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Hernia de Spiegel: presentación de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Spigelian hernia: case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cruz Rodríguez]]></surname>
<given-names><![CDATA[Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Monteagudo Ramírez]]></surname>
<given-names><![CDATA[Jaime]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramos Rodríguez]]></surname>
<given-names><![CDATA[Joel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[O´farril Hernández]]></surname>
<given-names><![CDATA[Marcia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Arnaldo Milián Castro  ]]></institution>
<addr-line><![CDATA[Villa Clara ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2019</year>
</pub-date>
<volume>21</volume>
<numero>2</numero>
<fpage>121</fpage>
<lpage>127</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1608-89212019000200121&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1608-89212019000200121&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1608-89212019000200121&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento:  La hernia de Spiegel es un defecto de la pared abdominal generalmente mal diagnosticado; en la experiencia de los cirujanos, las hernias de la pared abdominal constituyen una enfermedad cuyo diagnóstico es esencialmente clínico. Sin embargo, la hernia de Spiegel por su infrecuente presentación (0.1 - 2 %) pasa fácilmente inadvertida.  Objetivo:  Describir el caso de un paciente con una hernia de Spiegel.  Presentación del caso:  En este artículo presentamos un paciente masculino de 37 años que fue hospitalizado por presentar dolor abdominal de un mes y medio de evolución, al que se le diagnosticó una hernia de Spiegel.  Conclusiones:  Por las dificultades diagnósticas que presenta esta enfermedad es importante realizar una correcta anamnesis y examen físico, sin dejar de lado estudios de imagen. El tratamiento definitivo de la hernia de Spiegel es el quirúrgico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Background: Spigelian hernia is a defect of the abdominal wall that is generally misdiagnosed. In the experience of surgeons, the diagnosis of the abdominal wall hernias is usually clinical. However, because of their presentation is infrequent (0.1 - 2 %) Spigelian hernias often fail to be noticed.  Objective: To describe the case of a patient with a Spigelian hernia.  Case report:  In this article, we present a 37-year-old male patient who was hospitalized due to abdominal pain during a month and a half of evolution, who was diagnosed with a Spigelian hernia.  Conclusions:  Due to the diagnostic difficulties this disease presents it is important to accomplish a correct anamnesis and physical examination, without putting aside studies of image. The definite treatment of Spigelian hernia is surgery.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Hernia Spiegel]]></kwd>
<kwd lng="es"><![CDATA[hernia abdominal]]></kwd>
<kwd lng="es"><![CDATA[cirugía]]></kwd>
<kwd lng="es"><![CDATA[herniorrafia]]></kwd>
<kwd lng="en"><![CDATA[Spiegelian hernia]]></kwd>
<kwd lng="en"><![CDATA[hernia Spiegel]]></kwd>
<kwd lng="en"><![CDATA[abdominal hernia]]></kwd>
<kwd lng="en"><![CDATA[surgery]]></kwd>
<kwd lng="en"><![CDATA[herniorrhafhy]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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