<?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>1405-0099</journal-id>
<journal-title><![CDATA[Cirujano general]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. gen]]></abbrev-journal-title>
<issn>1405-0099</issn>
<publisher>
<publisher-name><![CDATA[Asociación Mexicana de Cirugía General A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1405-00992017000400203</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Abdomen agudo quirúrgico. Un reto diagnóstico]]></article-title>
<article-title xml:lang="en"><![CDATA[Acute surgical abdomen: A diagnostic challenge]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Valenzuela]]></surname>
<given-names><![CDATA[Salvador Eloy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bonilla-Catalán]]></surname>
<given-names><![CDATA[Pablo Valente]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Quintero-García]]></surname>
<given-names><![CDATA[Benjamín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Trujillo-Bracamontes]]></surname>
<given-names><![CDATA[Francisco Samuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ríos-Beltrán]]></surname>
<given-names><![CDATA[José del Carmen]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez-Cuén]]></surname>
<given-names><![CDATA[Jaime Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valdez-Avilés]]></surname>
<given-names><![CDATA[Denisse]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado  ]]></institution>
<addr-line><![CDATA[Culiacán Sinaloa]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado  ]]></institution>
<addr-line><![CDATA[Culiacán Sinaloa]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Autónoma de Sinaloa Facultad de Medicina ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado Hospital Regional &#8220;Dr. Manuel Cárdenas de la Vega&#8221; ]]></institution>
<addr-line><![CDATA[Culiacán Sinaloa]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<volume>39</volume>
<numero>4</numero>
<fpage>203</fpage>
<lpage>208</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992017000400203&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992017000400203&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992017000400203&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  El dolor abdominal es un síntoma muy frecuente originado por un amplio espectro de enfermedades y trastornos que son, en su mayoría, de origen benigno; sin embargo, en algunas situaciones, se debe a un proceso grave o enfermedad que pone en peligro la vida.  Objetivo:  Determinar cuántas consultas se requieren para el diagnóstico de abdomen agudo quirúrgico.  Material y métodos:  Se realizó una cohorte en pacientes operados por diagnóstico de abdomen agudo quirúrgico en el Hospital Regional de Culiacán del ISSSTE, en el periodo de septiembre de 2015 a enero de 2016.  Resultados: La muestra consistió en un total de 56 pacientes operados por abdomen agudo; las causas más frecuentes fueron apendicitis aguda (62.5%) y patología biliar (23.3%). En el 41.1% (IC 95%: [28.1, 55.0]) de los pacientes hubo cambio en el diagnóstico inicial. En total, fueron 69 consultas de valoración entre los 56 pacientes operados, quienes tuvieron que acudir un promedio de 1.3 ± .5 veces a consulta.  Conclusiones:  Se requieren hasta dos consultas para el diagnóstico de abdomen agudo quirúrgico; al incrementar el número de consultas aumenta hasta 12 veces la probabilidad de un diagnóstico erróneo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction: Abdominal pain is a very common symptom, caused by a broad spectrum of diseases and disorders, most of which have a benign origin; however, in some situations, the cause is a serious process or life-threatening disease.  Objective: To determine how many consultations are required for the diagnosis of acute surgical abdomen.  Material and methods:  We conducted a cohort of patients operated on with a diagnosis of acute surgical abdomen at Culiacan&#8217;s Regional Hospital, ISSSTE, in the period from September 2015 to January 2016.  Results: The sample consisted of a total of 56 patients operated on for acute abdomen; the most frequent causes were acute appendicitis (62.5%) and biliary pathology (23.3%). In 41.1% (IC 95%: [28.1, 55.0]) of the patients, there was a change in the initial diagnosis. There were 69 valuation consultations among the 56 operated patients, who had to undergo an average of 1.3 ± .5 consultations.  Conclusions: Up to two consultations were required for the diagnosis of acute surgical abdomen; when the number of consultations is higher, the probability of an erroneous diagnosis increases up to 12 times.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Dolor abdominal]]></kwd>
<kwd lng="es"><![CDATA[abdomen agudo]]></kwd>
<kwd lng="es"><![CDATA[servicios de urgencias]]></kwd>
<kwd lng="es"><![CDATA[diagnóstico]]></kwd>
<kwd lng="es"><![CDATA[evaluación]]></kwd>
<kwd lng="es"><![CDATA[educación médica]]></kwd>
<kwd lng="en"><![CDATA[Abdominal pain]]></kwd>
<kwd lng="en"><![CDATA[acute abdomen]]></kwd>
<kwd lng="en"><![CDATA[emergency services]]></kwd>
<kwd lng="en"><![CDATA[diagnosis]]></kwd>
<kwd lng="en"><![CDATA[evaluation]]></kwd>
<kwd lng="en"><![CDATA[medical education]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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