<?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>S1561-31942022000100020</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Trombosis de rama fina de arteria ileocecal: Informe de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Fine-branch thrombosis of the ileocecal artery: case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jimenez-Franco]]></surname>
<given-names><![CDATA[Luis Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Pérez]]></surname>
<given-names><![CDATA[Naila]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Marchena-Rodríguez]]></surname>
<given-names><![CDATA[Alexander]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Cienfuegos  ]]></institution>
<addr-line><![CDATA[Cienfuegos ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas de Cienfuegos Hospital Provincial Universitario Clínico-Quirúrgico Dr. Gustavo Aldereguía Lima ]]></institution>
<addr-line><![CDATA[Cienfuegos ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2022</year>
</pub-date>
<volume>26</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1561-31942022000100020&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1561-31942022000100020&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1561-31942022000100020&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: el abdomen agudo quirúrgico en el anciano se caracteriza por su presentación poco usual. La reducción del flujo sanguíneo tisular por isquemia mesentérica secundario a trombosis arterial aguda, en pacientes geriátricos, se presenta como un cuadro de abdomen agudo inespecífico. Aspecto que eleva su mortalidad.  Objetivo: describir un caso de isquemia segmentaria del ciego secundario a trombosis de rama fina de la arteria ileocecal.  Presentación de caso: paciente de 94 años, dolor abdominal en fosa iliaca derecha con Signo Blumberg positivo, se acompaña de náuseas y vómitos. Dolor sugestivo a apendicitis aguda; se interviene mediante cirugía de urgencia y se constata isquemia segmentaria del ciego en su cara anterior secundaria a isquemia de la arteria ileocecal por trombosis de rama fina de la arteria en cuestión; se realizó hemicolectomía derecha e iliotranversostomía término-lateral. Presentó evolución clínica favorable.  Conclusiones: la sintomatología de la trombosis arterial aguda en adultos mayores implica una secuencia de signos y síntomas subjetivos a otras enfermedades; su diagnóstico precoz se hace difícil dado esta particularidad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  acute surgical abdomen in the elderly is characterized by its unusual presentation. The reduction of tissue blood flow due to mesenteric ischemia secondary to acute arterial thrombosis in geriatric patients presents as a non-specific acute abdomen. This aspect increases mortality.  Objective:  to describe a case of segmental ischemia of the cecum secondary to fine-branch thrombosis of the ileocecal artery.  Case report:  94-year-old patient, abdominal pain in the right iliac fossa with positive Blumberg sign, accompanied by nausea and vomiting. Pain suggestive of acute appendicitis; the patient underwent emergency surgery and a segmental ischemia of the cecum in its anterior aspect secondary to ischemia of the ileocecal artery due to thrombosis of the fine-branch of the artery in question is confirmed; right hemicolectomy and ileotransversostomy were performed. The clinical evolution was favorable.  Conclusions:  the clinical chart of acute arterial thrombosis in older adults implies a sequence of signs and symptoms subjective to other diseases; its early diagnosis is difficult due to this particularity.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[ABDOMEN AGUDO]]></kwd>
<kwd lng="es"><![CDATA[ANCIANO]]></kwd>
<kwd lng="es"><![CDATA[DOLOR ABDOMINAL]]></kwd>
<kwd lng="es"><![CDATA[ISQUEMIA]]></kwd>
<kwd lng="es"><![CDATA[ISQUEMIA MESENTÉRICA]]></kwd>
<kwd lng="en"><![CDATA[ABDOMEN, ACUTE]]></kwd>
<kwd lng="en"><![CDATA[AGED]]></kwd>
<kwd lng="en"><![CDATA[ABDOMINAL PAIN]]></kwd>
<kwd lng="en"><![CDATA[ISCHEMIA]]></kwd>
<kwd lng="en"><![CDATA[MESENTERIC ISCHEMIA]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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