<?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>2011-7582</journal-id>
<journal-title><![CDATA[Revista Colombiana de Cirugía]]></journal-title>
<abbrev-journal-title><![CDATA[rev. colomb. cir.]]></abbrev-journal-title>
<issn>2011-7582</issn>
<publisher>
<publisher-name><![CDATA[Asociación Colombiana de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2011-75822018000300250</article-id>
<article-id pub-id-type="doi">10.30944/20117582.69</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Hallazgos más frecuentes en laparoscopias realizadas en mujeres en edad fértil con abdomen agudo]]></article-title>
<article-title xml:lang="en"><![CDATA[Most frequent findings at laparoscopy performed in childbearing-age women presenting with acute abdomen]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mantilla]]></surname>
<given-names><![CDATA[Habib Jussef]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fuentes]]></surname>
<given-names><![CDATA[Carlos Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gutiérrez]]></surname>
<given-names><![CDATA[Jorge Andrés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bravo]]></surname>
<given-names><![CDATA[María Alejandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Militar Nueva Granada  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Militar Nueva Granada  ]]></institution>
<addr-line><![CDATA[Bogotá D.C]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Militar Central  ]]></institution>
<addr-line><![CDATA[Bogotá D.C]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Militar Central  ]]></institution>
<addr-line><![CDATA[Bogotá D.C]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2018</year>
</pub-date>
<volume>33</volume>
<numero>3</numero>
<fpage>250</fpage>
<lpage>256</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S2011-75822018000300250&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S2011-75822018000300250&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S2011-75822018000300250&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción.  En las mujeres en edad fértil el dolor abdominal agudo inespecífico es una entidad frecuente, que reviste especial dificultad en el abordaje diagnóstico, especialmente por el origen gineco-obstétrico. La laparoscopia es un método diagnóstico que ofrece 100 % de sensibilidad en algunas patologías, tiempo de recuperación corto, estancia hospitalaria mínima y posibilidad de resolución en la mayoría de abdómenes agudos.  Materiales y métodos.  Se realizó una búsqueda retrospectiva entre los años 2013 y 2014 en el Hospital Militar Central, de pacientes de género femenino, en edad fértil, llevadas a laparoscopia diagnóstica por abdomen agudo y sospecha de patología quirúrgica.  Resultados.  Se identificaron 108 mujeres en edad fértil con dolor abdominal agudo y sospecha de patología quirúrgica. Se encontró que 62,07 % presentó patología quirúrgica, con una mediana de 25 años de edad. La apendicitis correspondió al 94,0 % (63/67), seguida por el plastrón apendicular en un 2,9 % (2/67) y una mediana de tiempo de 24 horas (p 5 % 5 h - p 95 % 96 h). Se encontró una diferencia estadísticamente significativa entre las pacientes con patología quirúrgica vs. no quirúrgica en el conteo de leucocitos, neutrófilos y proteína C reactiva. La única variable clínica con una diferencia estadísticamente significativa entre los dos grupos fue la fiebre, la cual se manifestó con mayor frecuencia en las pacientes no quirúrgicas.  Conclusión.  La laparoscopia diagnóstica es útil en mujeres en edad fértil con dolor abdominal agudo, leucocitosis, neutrofilia y PCR elevada, y aporta un riesgo muy bajo de morbilidad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction.  Nonspecific acute abdominal pain is frequent in women of childbearing age, presenting difficulty in the diagnosis due to the gyneco-obstetric origin. Laparoscopy is a diagnostic method that offers 100% sensitivity in several pathologies, with a short recovery time, brief hospital stay and the possibility of resolving most cases of acute abdomen.  Materials and methods.  A retrospective search was conducted at the Central Military Hospital, Bogotá, Colombia, of female patients of childbearing age who underwent diagnostic laparoscopy for acute abdomen and suspected surgical pathology in the period 2013-2014.  Results.  We identified 108 women of childbearing age presenting with acute abdominal pain and suspicion of surgical pathology, finding that 62.07% of the patients had a surgical pathology, with a median age of 25 years, appendicitis being 94.02% (63/67) of the cases, followed by appendicular phlegmon in 2.98% (2/67) and with a median time in 24 hours (p5% 5 hours - p95% 96 hours). A statistically significant difference was found between the patients with surgical versus non-surgical pathologies in the leukocyte count, neutrophils and CRP. The only clinical variable with a statistically significant difference between the two groups was fever, being present more frequently in the non-surgical patients. Conclusion. Diagnostic laparoscopy is useful in women of childbearing age with acute abdominal pain with leukocytosis, neutrophilia and elevated CRP, with a very low risk of morbidity.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[abdomen agudo]]></kwd>
<kwd lng="es"><![CDATA[dolor abdominal]]></kwd>
<kwd lng="es"><![CDATA[salud sexual y reproductiva]]></kwd>
<kwd lng="es"><![CDATA[laparoscopía]]></kwd>
<kwd lng="es"><![CDATA[apendicitis]]></kwd>
<kwd lng="es"><![CDATA[enfermedad inflamatoria pélvica]]></kwd>
<kwd lng="en"><![CDATA[abdomen, acute]]></kwd>
<kwd lng="en"><![CDATA[abdominal pain]]></kwd>
<kwd lng="en"><![CDATA[sexual and reproductive health]]></kwd>
<kwd lng="en"><![CDATA[laparoscopy]]></kwd>
<kwd lng="en"><![CDATA[appendicitis]]></kwd>
<kwd lng="en"><![CDATA[pelvic inflammatory disease]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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