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The case report of a 30-year-old young adult with a history of good health is described, who was assisted at the Surgery Service of Manuel Ascunce Domenech University Hospital in Camagüey due to volume increase in the abdominal region with a course of two months, concomitant with asthenia, anorexia, vomits and weight loss. Physical examination revealed a globular abdomen (palpable spleen) with no pain, a periumbilical hematoma, and multiple supraclavicular adenopathies; meanwhile, in the imaging studies splenomegaly was evidenced. Splenectomy was performed with administration of general endotracheal anesthesia and the histopathological study of the resected sample confirmed the diagnosis of primary spleenic lymphoma. [ABSTRACT FROM AUTHOR]

Copyright of Revista de Ciencias Médicas de Pinar del Río is the property of Editorial Ciencias Medicas and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista de Ciencias Médicas de Pinar del Río is the property of Editorial Ciencias Medicas and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista de Ciencias Médicas de Pinar del Río is the property of Editorial Ciencias Medicas and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista de Ciencias Médicas de Pinar del Río is the property of Editorial Ciencias Medicas and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To evaluate subarachnoid analgesic modes fentanyl-bupivacaine and bupivacaine in surgery procedures of low abdomen. Material and methods: An analytic longitudinal prospective study was performed at the «Manuel Ascunce Domenech» University Hospital in Camagüey, from January 2015 to December 2017. The universe was compound by 180 patients. Sample was selected about 60 patients by probabilistic simple random sampling distributed in two groups: A (fentanyl-bupivacaine) and B (bupivacaine) according to inclusion criteria. The data were collected in questionnaire properly to investigation with baseline data in Statistical Package for Social Sciences. A univariate and multivariate analysis were conducted. Results: Complications and adverse reactions and their probability of presentation in the fentanyl-bupivacaine group was greater, drowsiness (3.5 times), arterial hypotension (2.8 times), pruritus (2.1 times) and bradycardia (2.1 times) corroborated by confidence intervals. This group had ten times more probability to have tolerable trouble or no pain (OR = 10.2) that bupivacaine group, all of which showed moderate pain; 10 times more probability of analgesia higher to 3 hours (OR = 10.7) versus bupivacaine with analgesia from 30 minutes to 3 hours and 8 times more probability to perceive good satisfaction (OR = 7.8). Conclusions: Evaluation of pain postoperative and analgesic time were better in patients managed with fentanylbupivacaine that resulted in analgesic of the greatest quality although prevailed drowsiness, arterial hypotension, pruritus and bradycardia like adverse reactions. [ABSTRACT FROM AUTHOR]