<?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>1684-1824</journal-id>
<journal-title><![CDATA[Revista Médica Electrónica]]></journal-title>
<abbrev-journal-title><![CDATA[Rev.Med.Electrón.]]></abbrev-journal-title>
<issn>1684-1824</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Matanzas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1684-18242019000300748</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Hernia de Spiegel. A propósito de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Spiegelian hernia. A propos of a case]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Mendez]]></surname>
<given-names><![CDATA[Luis Rolando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez García]]></surname>
<given-names><![CDATA[Luismer]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Municipal Docente Iluminado Rodríguez  ]]></institution>
<addr-line><![CDATA[ Matanzas]]></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>41</volume>
<numero>3</numero>
<fpage>748</fpage>
<lpage>755</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1684-18242019000300748&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1684-18242019000300748&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1684-18242019000300748&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La hernia de Spiegel es un defecto raro de la pared abdominal. Su diagnóstico se hace muy difícil por lo infrecuente y por la dificultad para diferenciarla de la hernia inguinal supravesical. Precisamente, por lo poco común, los médicos muchas veces no valoran seriamente la presencia de esta variedad de hernia. Constituye una patología en la que el diagnóstico al igual que el resto de las hernias de la pared abdominal, es esencialmente clínico. El objetivo de este trabajo es informar un caso con un tipo de hernia poco común. Paciente de 50 años de edad, de color de piel blanca, obesa, multípara de procedencia urbana, con antecedentes personales patológico de relativa buena salud. Acudió a consulta por presentar dolor en la región inferior derecha, en la unión del flanco derecho con el mesogastrio, desde hacía varios meses. Fue diagnosticada con una hernia de Spiegel. Se le realizaron los estudios correspondientes fue intervenida quirúrgicamente realizándose hernioplastia.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Spiegelian hernia is a rare defect of the abdominal wall. Its diagnosis is very difficult because of its infrequency and the difficult of differentiating it from the supravesical inguinal hernia. Precisely due to its infrequence the doctors usually do not seriously evaluate the presence of this kind of hernia. It is a pathology in which, like in the rest of the abdominal wall hernias, the diagnosis is essentially clinical. The aim of this work is to report a case of a patient with an uncommon kind of hernia: a female, obese, multiparous, white patient, aged 50 years, from urban precedence, with personal pathological antecedents of relatively good health, assisted the consultation presenting pain in the right inferior region, in the place where the right flank meets the mesogastrium for several months. She was diagnosed a Spiegel&#8217;s hernia. The correspondent studies were carried out and she underwent a hernioplasty.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[hernia de Spiegel]]></kwd>
<kwd lng="es"><![CDATA[cirugía]]></kwd>
<kwd lng="es"><![CDATA[hernia abdominal]]></kwd>
<kwd lng="en"><![CDATA[Spiegelian hernia]]></kwd>
<kwd lng="en"><![CDATA[surgery]]></kwd>
<kwd lng="en"><![CDATA[abdominal hernia]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[García Gutierrez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Capítulo 53. Hernias abdominales externas poco frecuentes]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Pardo Gomez]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Garcia Gutierres]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Temas de Cirugía. Tomo 2]]></source>
<year>2011</year>
<publisher-loc><![CDATA[La Habana ]]></publisher-loc>
<publisher-name><![CDATA[Ciencias Médicas]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ge]]></surname>
<given-names><![CDATA[Wantz]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hernias de la pared abdomina]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Schwartz]]></surname>
<given-names><![CDATA[SI]]></given-names>
</name>
</person-group>
<source><![CDATA[Principios de Cirugia]]></source>
<year>2015</year>
<edition>7</edition>
<publisher-loc><![CDATA[Mexico ]]></publisher-loc>
<publisher-name><![CDATA[Mc Graw-Hill]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pélissier]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Ngo]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Traitement chirurgical des hernies de Spiegel]]></article-title>
<source><![CDATA[EMC]]></source>
<year>2010</year>
<volume>0424</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>1-6</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Abraham Arap]]></surname>
<given-names><![CDATA[JF]]></given-names>
</name>
<name>
<surname><![CDATA[Mederos Curbelo]]></surname>
<given-names><![CDATA[ON]]></given-names>
</name>
<name>
<surname><![CDATA[Garcia Gutierrez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Capítulo 54. Hernia incisional]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Pardo Gomez]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Garcia Gutierres]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Cirugia Tomo II]]></source>
<year>2008</year>
<publisher-loc><![CDATA[La Habana ]]></publisher-loc>
<publisher-name><![CDATA[Ciencias Medicas]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cerdán Pascual]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Cantín Blázquez]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Barranco Domínguez]]></surname>
<given-names><![CDATA[JI]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hernia de Spiegel. Revisión a propósito de 8 casos]]></article-title>
<source><![CDATA[Rev Cubana Cir]]></source>
<year>2005</year>
<volume>44</volume>
<numero>4</numero>
<issue>4</issue>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Abraham Arap]]></surname>
<given-names><![CDATA[JF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Aspectos clínicos de las hernias de la pared abdominal. Tema 6. Características generales de las hernias abdominales externas]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Abraham Arap]]></surname>
<given-names><![CDATA[JF]]></given-names>
</name>
</person-group>
<source><![CDATA[Cirugía de las hernias de la pared abdominal]]></source>
<year>2010</year>
<publisher-loc><![CDATA[La Habana ]]></publisher-loc>
<publisher-name><![CDATA[Ciencias Médicas]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Merello Lardies]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Napoli]]></surname>
<given-names><![CDATA[ED]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Pared abdominal. Hernias y eventraciones]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Ferraina]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Oria]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Cirugia de Michans]]></source>
<year>2008</year>
<edition>5</edition>
<publisher-loc><![CDATA[Buenos Aires ]]></publisher-loc>
<publisher-name><![CDATA[El Ateo]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Guirao Manzano]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Mansilla Molina]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez Folqués]]></surname>
<given-names><![CDATA[JE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Tratamiento de la Hernia de Spiegel con mallas de propileno. Nuevo enfoque terapéutico]]></article-title>
<source><![CDATA[Cir Esp]]></source>
<year>2000</year>
<volume>67</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>192-5</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Moles Morenilla]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Docobo]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Mena]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hernia de Spiegel en España, Análisis de 162 casos]]></article-title>
<source><![CDATA[Rev Esp Enferm Dig]]></source>
<year>2005</year>
<volume>97</volume>
<page-range>338-47</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Moreno-Egea]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Girela]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Torralba]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Tratamiento laparoscópico ambulatorio de la hernia de Spiegel: presentación de 10 casos]]></article-title>
<source><![CDATA[Cir Esp]]></source>
<year>2002</year>
<volume>71</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>221-3</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Moreno-Egea]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Flores]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Aguayo]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
<name>
<surname><![CDATA[Canteras]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hernia de Spiegel en España: revisión bibliográfica y presentación de una serie personal de 27 pacientes]]></article-title>
<source><![CDATA[Cir Esp]]></source>
<year>2002</year>
<volume>72</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>18-22</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
