<?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>0120-0011</journal-id>
<journal-title><![CDATA[Revista de la Facultad de Medicina]]></journal-title>
<abbrev-journal-title><![CDATA[rev.fac.med.]]></abbrev-journal-title>
<issn>0120-0011</issn>
<publisher>
<publisher-name><![CDATA[Universidad Nacional de Colombia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-00112018000200279</article-id>
<article-id pub-id-type="doi">10.15446/revfacmed.v66n2.59798</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Acute abdomen and perforated duodenal ulcer in an adolescent: case report]]></article-title>
<article-title xml:lang="es"><![CDATA[Abdomen agudo quirúrgico, úlcera duodenal perforada en un adolescente: reporte de caso]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zarate-Suárez]]></surname>
<given-names><![CDATA[Luis Augusto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Urquiza-Suárez]]></surname>
<given-names><![CDATA[Yinna Leonor]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[Carlos Felipe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Padilla-Mantilla]]></surname>
<given-names><![CDATA[Diego Andrés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mendoza]]></surname>
<given-names><![CDATA[María Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Fundación Oftalmológica de Santander  ]]></institution>
<addr-line><![CDATA[Bucaramanga ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Autónoma de Bucaramanga Faculty of Health Sciences Department of Pediatric Surgery]]></institution>
<addr-line><![CDATA[Bucaramanga ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<volume>66</volume>
<numero>2</numero>
<fpage>279</fpage>
<lpage>281</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-00112018000200279&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-00112018000200279&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-00112018000200279&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Acute abdominal pain is one of the most frequent reasons for consultation in emergency departments. Its causes are diverse and are divided into surgical and medical. Surgical causes may be traumatic, obstructive or inflammatory. The last category includes perforated hollow viscus as a complication of duodenal ulcer, a rare condition in pediatrics. This paper presents the case of a previously healthy 14-year-old adolescent who attended the emergency department due to the sudden onset and rapid progression of abdominal pain in the right hypochondrium, which radiated to the lower back on the same side. This condition was associated with vasovagal symptoms and was initially managed as urolithiasis, considering clinical deterioration and obvious signs of generalized peritonitis, which required a diagnostic laparoscopy followed by laparotomy by pediatric surgery. Perforated duodenal ulcer was diagnosed during the procedure as the cause of the symptoms. This paper intends to show the experience of clinical cases with an initial diagnostic error and include complicated duodenal ulcer as a differential diagnosis.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen El dolor abdominal agudo es uno de los principales motivos de consulta en los servicios de urgencias, sus causas son diversas y se dividen en quirúrgicas y médicas. En este artículo se hace mención a las causas quirúrgicas que pueden ser de tipo traumático, obstructivo o inflamatorio. En esta última categoría se encuentra la perforación de víscera hueca como complicación de ulcera duodenal, entidad poco frecuente en la edad pediátrica. Se presenta el caso de un adolescente de 14 años, previamente sano, quien consultó a urgencias de medicina general por dolor abdominal de inicio súbito y de rápido progreso en hipocondrio derecho, con irradiación a zona lumbar del mismo lado, asociado a síntomas vaso vágales. Se da manejo primario como urolitiasis. Ante el deterioro clínico y los signos evidentes de peritonitis generalizada, el paciente es llevado a laparoscopia diagnóstica que requiere conversión a laparotomía por cirugía pediátrica. El hallazgo quirúrgico es úlcera duodenal perforada como causa del cuadro clínico. Este reporte pretende mostrar la experiencia de los casos clínicos en los que se da un error diagnóstico inicial e incluir a la ulcera duodenal complicada como diagnóstico diferencial.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Acute Abdomen]]></kwd>
<kwd lng="en"><![CDATA[Duodenal Ulcer]]></kwd>
<kwd lng="en"><![CDATA[Pediatrics (MeSH)]]></kwd>
<kwd lng="es"><![CDATA[Abdomen agudo]]></kwd>
<kwd lng="es"><![CDATA[Úlcera duodenal]]></kwd>
<kwd lng="es"><![CDATA[Pediatría (DeCS)]]></kwd>
</kwd-group>
</article-meta>
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