<?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>0034-7523</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina]]></journal-title>
<abbrev-journal-title><![CDATA[Rev cubana med]]></abbrev-journal-title>
<issn>0034-7523</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-75232022000200014</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Apendagitis epiploica en paciente con la COVID-19]]></article-title>
<article-title xml:lang="en"><![CDATA[Epiploic appendagitis in a COVID-19 patient]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Dornes Ramón]]></surname>
<given-names><![CDATA[Rolando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez Castro]]></surname>
<given-names><![CDATA[Yunelkys]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pelegrín Bejerano]]></surname>
<given-names><![CDATA[Diannelis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Provincial General Docente Dr. &#8220;Antonio Luaces Iraola&#750;  ]]></institution>
<addr-line><![CDATA[ Ciego de Ávila]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Policlínico Rural &#8220;Pedro Ballester&#750;  ]]></institution>
<addr-line><![CDATA[ Ciego de Ávila]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2022</year>
</pub-date>
<volume>61</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-75232022000200014&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-75232022000200014&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-75232022000200014&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La apendagitis epiploica es un proceso inflamatorio producido por daño estructural debido a torsión que genera zonas hemorrágicas o isquémicas, o bien por una inflamación circundante que afecta los apéndices y genera infarto o necrosis grasa.  Objetivo:  Describir las características clínico-imagenológicas de un paciente con diagnóstico de apendangitis epiploica en el curso de su infección por COVID-19.  Caso clínico:  Paciente blanco, masculino de 48 años, con diagnóstico de COVID-19, que comenzó con cuadro de dolor abdominal difuso de 8 días de evolución, que se intensificó en las últimas 24 horas a nivel de la fosa iliaca derecha, acompañado de fiebre, estado nauseabundo y toma del estado general. Se le realiza rayos X de abdomen simple encontrándose íleo regional y tomografía axial computarizada con doble contraste, se halló el signo del halo hiperdenso compatible con apendangitis epiploica. Se decide tratamiento conservador. Se tiene en cuenta la comorbilidad con la COVID-19. Se le realizó seguimiento clínico-imagenológico con evolución favorable con la terapéutica impuesta.  Desarrollo:  La apendagitis epiploica es una causa de dolor abdominal infrecuente, que puede simular un cuadro de abdomen agudo. La evolución de esta enfermedad puede ser autolimitada por lo que se recomienda el manejo conservador.  Conclusiones: Con la presente investigación se exponen los hallazgos clínicos-imagenológicos de la apendagitis epiploica, entidad poco conocida, que puede imitar un abdomen agudo quirúrgico y conllevar a una innecesaria intervención quirúrgica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Epiploic appendagitis is an inflammatory process caused by structural damage due to torsion that generates hemorrhagic or ischemic areas, or by surrounding inflammation that affects the appendages and generates infarction or fat necrosis.  Objective:  To describe the clinical-imaging characteristics of a patient diagnosed with epiploic appendangitis in the course of his COVID-19 infection.  Clinical case report:  We report the case of a white, 48-year-old male patient, diagnosed with COVID-19, who began with an 8-day history of diffuse abdominal pain, which intensified in the last 24 hours at the level of the right iliac fossa, accompanied by fever, nauseous state and taking of the general state. Simple abdominal X-rays were performed, finding regional ileus and computed tomography with double contrast, a hyperdense halo sign compatible with epiploic appendangitis was found. Conservative treatment is decided. Comorbidity with COVID-19 is taken into account. Clinical-imaging follow-up was carried out with favorable evolution with the imposed therapy.  Development:  Epiploic appendagitis is an infrequent cause of abdominal pain, which can simulate an acute abdomen. The evolution of this disease can be self-limited, so conservative management is recommended.  Conclusions:  This research disclosures the clinical-imaging findings of epiploic appendagitis, a little-known entity that can mimic an acute surgical abdomen and lead to unnecessary surgical intervention.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[apendangitis epiploica]]></kwd>
<kwd lng="es"><![CDATA[dolor abdominal]]></kwd>
<kwd lng="es"><![CDATA[abdomen agudo]]></kwd>
<kwd lng="es"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[epiploic appendangitis]]></kwd>
<kwd lng="en"><![CDATA[abdominal pain]]></kwd>
<kwd lng="en"><![CDATA[acute abdomen]]></kwd>
<kwd lng="en"><![CDATA[COVID-19.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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