<?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>1887-8571</journal-id>
<journal-title><![CDATA[Sanidad Militar]]></journal-title>
<abbrev-journal-title><![CDATA[Sanid. Mil.]]></abbrev-journal-title>
<issn>1887-8571</issn>
<publisher>
<publisher-name><![CDATA[Ministerio de Defensa]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1887-85712023000100008</article-id>
<article-id pub-id-type="doi">10.4321/s1887-85712023000100008</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Dolor abdominal inespecífico, un cuadro a vigilar]]></article-title>
<article-title xml:lang="en"><![CDATA[Non-specific abdominal pain, a case to keep under observation]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lou-Calvo]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Estrada-Lázaro]]></surname>
<given-names><![CDATA[IM]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Castelblanque]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villota-Bello]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales-Hernández]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mora-Martínez]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Sector II Zaragoza Medicina Familiar y Comunitaria ]]></institution>
<addr-line><![CDATA[Zaragoza ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Sector II Zaragoza Medicina Familiar y Comunitaria ]]></institution>
<addr-line><![CDATA[Zaragoza ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2023</year>
</pub-date>
<volume>79</volume>
<numero>1</numero>
<fpage>42</fpage>
<lpage>44</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1887-85712023000100008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1887-85712023000100008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1887-85712023000100008&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[SUMARIO El dolor abdominal es un síntoma inespecífico, común a múltiples procesos, con una alta prevalencia en la población general. Representa el 15-20% de los motivos de consulta en los servicios de urgencias.1 La mayoría de estos dolores tienen una etiología benigna, por lo que el objetivo inicial de la asistencia médica es identificar a aquellos pacientes cuyo dolor abdominal sea debido a una patología grave2. En ocasiones, puede tener una evolución tanto rápida como tórpida pudiendo provocar un abdomen agudo. El abdomen agudo se define como un dolor abdominal de instauración reciente, que requiere de un diagnóstico rápido y preciso debido a la posibilidad de que derive en un tratamiento quirúrgico urgente. Para ello es importante una buena anamnesis y exploración, enfocado a detectar signos y síntomas de alarma. Si no es diagnosticado y tratado de forma adecuada y precoz, puede originar consecuencia como sepsis, shock, insuficiencia renal, con elevada mortalidad3. A continuación presentamos el caso de una paciente con dolor abdominal inespecífico y pruebas complementarias anodinas en el inicio del cuadro, que evoluciona en las siguientes horas, obligando a la paciente a consultar de nuevo, llegando a precisar una intervención quirúrgica de urgencia. Se trata de un caso que nos obliga a determinar múltiples diagnósticos diferenciales y cómo abordar esta clínica tan frecuente como cambiante.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[SUMMARY Abdominal pain is a nonspecific symptom, common to multiple processes, with a high prevalence in the general population. It represents 15-20% of the reasons for consultation in the Emergency Department1. Most of these pains have a benign etiology, so the initial objective of medical care is to identify those patients whose abdominal pain is due to a serious pathology2. Sometimes, it can have both a fast and torpid evolution and can cause an acute abdomen. Acute abdomen is defined as abdominal pain of recent onset, which requires a rapid and accurate diagnosis due to the possibility that it may lead to urgent surgical treatment. For this, a good history and examination is important, focused on detecting alarm signs and symptoms. If it is not diagnosed and treated properly and early, it can cause consequences such as sepsis, shock, kidney failure, with high mortality3. Below we present the case of a patient with nonspecific abdominal pain and anodyne complementary tests at the beginning of the condition, which evolves in the following hours, forcing the patient to consult again, eventually requiring an emergency surgical intervention. This is a case that forces us to determine multiple differential diagnoses and how to approach this clinic that is as frequent as it is changing.]]></p></abstract>
</article-meta>
</front><back>
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