<?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>S1405-00992020000200170</article-id>
<article-id pub-id-type="doi">10.35366/95377</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Tratamiento quirúrgico de la apendicitis aguda en paciente COVID-19 positivo en hospital de tercer nivel]]></article-title>
<article-title xml:lang="en"><![CDATA[Surgical treatment of acute appendicitis in positive COVID-19 patient at third level hospital]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Razo Sánchez]]></surname>
<given-names><![CDATA[Abraham]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López Romero]]></surname>
<given-names><![CDATA[Sandra Cecilia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Pérez]]></surname>
<given-names><![CDATA[Luis Gabriel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Calatayud]]></surname>
<given-names><![CDATA[Mariel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gracida Mancilla]]></surname>
<given-names><![CDATA[Noé Isaías]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Montero García]]></surname>
<given-names><![CDATA[Paola Judith]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López Zúñiga]]></surname>
<given-names><![CDATA[Daniel Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gutiérrez Uvalle]]></surname>
<given-names><![CDATA[Gabriela Elaine]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General de México "Dr. Eduardo Liceaga"  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General de México "Dr. Eduardo Liceaga"  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital General de México "Dr. Eduardo Liceaga" Unidad de Terapéutica Quirúrgica ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital General de México "Dr. Eduardo Liceaga" Servicio de Patología Quirúrgica ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital General de México "Dr. Eduardo Liceaga"  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<volume>42</volume>
<numero>2</numero>
<fpage>170</fpage>
<lpage>175</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992020000200170&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992020000200170&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992020000200170&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción y objetivo: La apendicitis aguda es considerada la causa más común de abdomen agudo quirúrgico. Cuenta con una prevalencia de 7% en la población mundial; el tratamiento quirúrgico laparoscópico es el de elección. Sin embargo, a inicios de la pandemia COVID-19, se describió un probable aumento de riesgo de contagio para el equipo de trabajo por el uso del abordaje laparoscópico, por lo que en nuestro hospital se optó por el tratamiento abierto para los pacientes con patología aguda abdominal. Consideramos relevante compartir nuestra experiencia en un centro nacional de referencia.  Presentación del caso: Paciente femenino de 47 años, quien inicia cuadro clínico con dolor abdominal, náusea y vómito; con ingesta de analgésico y antibiótico. Después de migración de dolor, aumento y exacerbación del dolor abdominal, decide acudir al médico particular en donde se le realiza tomografía, la cual reportó apendicitis aguda e imágenes sugestivas de infección por SARS-CoV-2, por lo que es enviada a nuestra unidad. Se decide realizar apendicectomía abierta y es egresada a la Unidad de Cuidados Intensivos con evolución favorable.  Discusión: Actualmente, el diagnóstico de apendicitis aguda en el contexto de un paciente con COVID-19 representa un reto, ya que existen síntomas que pertenecen a ambas enfermedades, por lo que consideramos relevante compartir nuestra experiencia en un hospital de tercer nivel. No se encontró relación en el estudio patológico entre la enfermedad por coronavirus y la apendicitis aguda.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction and objective:  Acute appendicitis is considered the most common cause of acute surgical abdomen, with a prevalence of 7% of the world population, with laparoscopic surgical treatment being the gold standard. However, at the beginning of the COVID-19 pandemic, a probable increased risk of contagion for the surgical team was described due to the use of the laparoscopy, which is why in our hospital we choose for open surgery for patients with acute abdominal pathology, we consider relevant to share our experience in a national reference center.  Case report:  A 47-year-old female patient, who started her symptoms with abdominal pain, nausea and vomiting, taking analgesic and antibiotic, who, after pain migration increased abdominal pain and exacerbation of pain, decided to go to a private doctor where a CT scan was performed, reporting acute appendicitis and images suggestive of SARS-CoV-2 infection, so she is sent to our hospital, where we decided to perform an open appendectomy and is sent to the Intensive Care Unit with a favorable evolution.  Discussion:  Currently the diagnosis of acute appendicitis in the context of a patient with COVID-19 represents a challenge since there are symptoms which belong to both diseases, so we consider it relevant to share our experience in a third level hospital. No relationship was found in the pathological study between coronavirus disease and acute appendicitis.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Apéndice]]></kwd>
<kwd lng="es"><![CDATA[apendicitis]]></kwd>
<kwd lng="es"><![CDATA[COVID-19]]></kwd>
<kwd lng="es"><![CDATA[SARS-CoV-2]]></kwd>
<kwd lng="en"><![CDATA[Appendix]]></kwd>
<kwd lng="en"><![CDATA[appendicitis]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[SARS-CoV-2]]></kwd>
</kwd-group>
</article-meta>
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