<?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>1699-695X</journal-id>
<journal-title><![CDATA[Revista Clínica de Medicina de Familia]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Clin Med Fam]]></abbrev-journal-title>
<issn>1699-695X</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Medicina de Familia y Comunitaria]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1699-695X2019000200093</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Otras causas de dolor abdominal: síndrome de la arteria mesentérica superior]]></article-title>
<article-title xml:lang="en"><![CDATA[Other causes of abdominal pain: superior mesenteric artery syndrome]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villar Ramos]]></surname>
<given-names><![CDATA[Janire]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Altadill Bermejo]]></surname>
<given-names><![CDATA[Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rubio Sánchez]]></surname>
<given-names><![CDATA[Sergio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández Lobo]]></surname>
<given-names><![CDATA[Víctor]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Marqués de Valdecilla Centro de Salud Dávila ]]></institution>
<addr-line><![CDATA[Santander ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Sierrallana Centro de Salud Saja ]]></institution>
<addr-line><![CDATA[Cabezón de la Sal Cantabria]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Universitario Marqués de Valdecilla Servicio de Urgencias ]]></institution>
<addr-line><![CDATA[Santander ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Universitario Marqués de Valdecilla  ]]></institution>
<addr-line><![CDATA[Santander ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2019</year>
</pub-date>
<volume>12</volume>
<numero>2</numero>
<fpage>93</fpage>
<lpage>96</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1699-695X2019000200093&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1699-695X2019000200093&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1699-695X2019000200093&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La clínica del síndrome de la arteria mesentérica superior se basa en los siguientes síntomas: dolor epigástrico postpandrial, saciedad temprana, náuseas o vómitos biliosos, sobre todo en pacientes con una pérdida significativa de peso reciente o con una intervención quirúrgica previa, en la mayoría de ocasiones por escoliosis. En nuestro trabajo presentamos el caso de un varón de 83 años con antecedentes de fibrilación auricular y EPOC e intervenido por colecistitis litiásica crónica y ulcus péptico, que acude al servicio de urgencias con dolor abdominal intenso junto con vómitos y ausencia de ventoseo y deposición. Debemos pensar en este síndrome una vez descartadas las causas más frecuentes de dolor abdominal. Mediante la sospecha clínica y la realización del TC conseguimos un diagnóstico temprano, y evitamos complicaciones posteriores como alteraciones electrolíticas, perforación gástrica o gas venoso portal.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT The symptoms of superior mesenteric artery syndrome are: postprandial epigastric pain, early satiety, nausea or bilious vomiting, particularly in patients with significant recent weight loss or with previous surgery, most often scoliosis. We present the case of an 83-year-old man with a history of atrial fibrillation and COPD and previous surgeries due to peptic ulcer and chronic calculous cholecystitis, who arrives in the Emergency Department with severe abdominal pain, vomiting, not passing gas and constipation. We must think about this syndrome once the most frequent causes of abdominal pain have been ruled out. Thanks to clinical suspicion and CT scan we can obtain an early diagnosis and avoid later complications such as electrolyte imbalance, gastric perforation or portal venous gas.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Dolor Abdominal]]></kwd>
<kwd lng="es"><![CDATA[Obstrucción Intestinal]]></kwd>
<kwd lng="es"><![CDATA[Síndrome de la Arteria Mesentérica Superior]]></kwd>
<kwd lng="en"><![CDATA[Abdominal Pain]]></kwd>
<kwd lng="en"><![CDATA[Intestinal Obstruction]]></kwd>
<kwd lng="en"><![CDATA[Superior Mesenteric Artery Syndrome]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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