<?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>2444-054X</journal-id>
<journal-title><![CDATA[Cirugía y cirujanos]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. cir.]]></abbrev-journal-title>
<issn>2444-054X</issn>
<publisher>
<publisher-name><![CDATA[Academia Mexicana de Cirugía A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2444-054X2020000600782</article-id>
<article-id pub-id-type="doi">10.24875/ciru.20001112</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Hernia de Spiegel y apendicitis aguda necrosada. Un reporte de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Spiegelian hernia and necrotic acute appendicitis. Case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martín-Mattar]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Isarraraz-Flores]]></surname>
<given-names><![CDATA[Rigoberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ávila]]></surname>
<given-names><![CDATA[Juan P.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General de Mexicali Servicio de Cirugía General ]]></institution>
<addr-line><![CDATA[Mexicali ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>88</volume>
<numero>6</numero>
<fpage>782</fpage>
<lpage>786</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-054X2020000600782&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-054X2020000600782&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-054X2020000600782&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Antecedentes: La hernia de Spiegel es un tipo de hernia ventral poco frecuente que ocurre cuando existe un defecto en la línea semilunar (línea de Spiegel), a través del cual hay protrusión de grasa preperitoneal o un saco peritoneal con o sin una víscera intraabdominal.  Caso clínico: Mujer de 52 años que ingresa por dolor abdominal y un abultamiento en el cuadrante inferior derecho de 15 centímetros. En quirófano se realiza plastia de pared y al abrir el saco herniario se identifica apendicitis necrosada, por lo que se realiza apendicectomía tipo Pouchet y plastia de pared con malla de polipropileno.  Conclusión: La incidencia de la hernia se Spiegel es muy baja y lo es aún más cuando se asocia a apendicitis aguda. Dada su baja frecuencia, es importante la sospecha clínica. El tratamiento es quirúrgico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background: Spiegel hernia is a rare type of ventral hernia that occurs when there is a defect in the semilunar line (Spiegel line) through which there is protrusion of preperitoneal fat or a peritoneal sac with or without an intra-abdominal viscus.  Clinical case: A 52-year-old female patient admitted for abdominal pain and tumor in the lower right quadrant of 15 cm. In the operating room, wall plasty was performed and when hernia sac was opened, necrotic appendicitis was identified.  Conclusion: The incidence of hernia is Spiegel is very low and is lower when associated with acute appendicitis. Given its low frequency, clinical suspicion is important. The treatment is surgical.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Hernia de Spiegel]]></kwd>
<kwd lng="es"><![CDATA[Apendicitis]]></kwd>
<kwd lng="es"><![CDATA[Plastia]]></kwd>
<kwd lng="es"><![CDATA[Apendicectomía]]></kwd>
<kwd lng="en"><![CDATA[Spiegelian hernia]]></kwd>
<kwd lng="en"><![CDATA[Appendicitis]]></kwd>
<kwd lng="en"><![CDATA[Plasty]]></kwd>
<kwd lng="en"><![CDATA[Appendectomy]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cox]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
<name>
<surname><![CDATA[Adiamah]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Chowdhury]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Shah]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Rare and unusual case of perforated appendicitis in a Spigelian hernia]]></article-title>
<source><![CDATA[BMJ Case Rep 2017]]></source>
<year>2017</year>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mittal]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Kumar]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Khullar]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Sharma]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Soni]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Baijal]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Diagnosis and management of spigelian hernia:a review of literature and our experience]]></article-title>
<source><![CDATA[J Minim Access Surg]]></source>
<year>2008</year>
<volume>4</volume>
<page-range>95-8</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zaki]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Alawad]]></surname>
<given-names><![CDATA[AAM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Spigelian Hernia:a rare case report]]></article-title>
<source><![CDATA[Ann Clin Case Rep]]></source>
<year>2017</year>
<volume>2</volume>
<page-range>1288</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Thomas]]></surname>
<given-names><![CDATA[MP]]></given-names>
</name>
<name>
<surname><![CDATA[Avula]]></surname>
<given-names><![CDATA[SK]]></given-names>
</name>
<name>
<surname><![CDATA[England]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Stevenson]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Appendicitis in a Spigelian hernia:an unusual cause for a tender right iliac fossa mass]]></article-title>
<source><![CDATA[Ann R Coll Surg Engl]]></source>
<year>2013</year>
<volume>95</volume>
<page-range>8</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kaliszewski]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Kozakiewicz]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Lubieniecka]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Bronowicki]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Szelachowski]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Tabola]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Spigelian hernia containing an incarcerated appendix &#8212;a case report and literature review]]></article-title>
<source><![CDATA[J Clin Case Rep]]></source>
<year>2017</year>
<volume>7</volume>
<page-range>1057</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Reinke]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Resnick]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Incarcerated appendix in a Spigelian hernia]]></article-title>
<source><![CDATA[J Surg Case Rep]]></source>
<year>2010</year>
<volume>2010</volume>
<page-range>3</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Murillo-Zolezzi]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Hernánez-López]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Puente-Espel]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hernia de Spiegel, presentación de un caso y revisión de la literatura]]></article-title>
<source><![CDATA[Rev Mex Cir Endoscop]]></source>
<year>2011</year>
<volume>12</volume>
<page-range>130-4</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
