<?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>2184-0628</journal-id>
<journal-title><![CDATA[Gazeta Médica]]></journal-title>
<abbrev-journal-title><![CDATA[Gaz Med]]></abbrev-journal-title>
<issn>2184-0628</issn>
<publisher>
<publisher-name><![CDATA[Círculo Médico]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2184-06282020000300300</article-id>
<article-id pub-id-type="doi">10.29315/gm.v7i3.340</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Neglected Appendicitis? One Patient Two Diagnosis? Differential Diagnosis of Acute Abdominal Pain]]></article-title>
<article-title xml:lang="pt"><![CDATA[Apendicite Aguda Negligenciada? Um Paciente, Dois Diagnósticos? Diagnóstico Diferencial de Abdómen Agudo]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[e Monteiro]]></surname>
<given-names><![CDATA[Eunice Vieira]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Paiva]]></surname>
<given-names><![CDATA[Cláudia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Soares]]></surname>
<given-names><![CDATA[Paulo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Hospitalar Universitário do Porto General Surgery Service ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Hospitalar Universitário do Porto General Surgery Service Extra-Digestive Unit and Breast Pathology Unit]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro Hospitalar Universitário do Porto Program of Pancreas Transplantion. Program of Liver Transplantation Hepatobiliopancreatic Unit, General Surgery Service]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>09</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>09</month>
<year>2020</year>
</pub-date>
<volume>7</volume>
<numero>3</numero>
<fpage>300</fpage>
<lpage>303</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2184-06282020000300300&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2184-06282020000300300&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2184-06282020000300300&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Authors present a case report of a female patient, with 38-years-old, admitted with alithiasic acute pancreatitis. During the hospitalization on day 6 she referred migration of the pain to the lower right quadrant and had pain in decompression; she underwent a computed tomography scan that was compatible with acute appendicitis. She was admitted to the operating room and laparoscopic appendectomy was performed. Surgery and hospitalization were uneventful and she was discharged on the 10th day after admission. The purpose to present this case is related to need to draw doctors&#8217; attention to do an accurate physical examination and a selective interpretation of diagnostic exams in order to make a correct differential diagnosis and guide treatment.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo Os autores apresentam o caso clínico de uma paciente do género feminino, de 38 anos de idade, admitida por pancreatite aguda alitiásica. No sexto dia de internamento, a doente refere migração da dor para o quadrante inferior direito e apresentava dor à descompressão; realizou uma tomografia computorizada que foi compatível com apendicite aguda. Foi admitida no bloco operatório e foi submetida a apendicectomia laparoscópica. A cirurgia e o internamento decorreram sem intercorrências e a doente teve alta hospitalar ao décimo dia de internamento. O propósito da apresentação deste caso prende-se com a necessidade de chamar a atenção dos médicos para a importância da realização de um exame físico acurado e de uma interpretação seletiva dos exames de diagnóstico de forma a realizar um diagnóstico diferencial correto e orientar o tratamento.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Abdominal Pain]]></kwd>
<kwd lng="en"><![CDATA[Appendicitis/diagnosis]]></kwd>
<kwd lng="en"><![CDATA[Pancreatitis]]></kwd>
<kwd lng="pt"><![CDATA[Apendicite/diagnóstico]]></kwd>
<kwd lng="pt"><![CDATA[Dor Abdominal]]></kwd>
<kwd lng="pt"><![CDATA[Pancreatite]]></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[Hawramy]]></surname>
<given-names><![CDATA[TA]]></given-names>
</name>
<name>
<surname><![CDATA[Mohammed]]></surname>
<given-names><![CDATA[DA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Serum Amylase Level Measurement in Acute Abdominal Pain]]></article-title>
<source><![CDATA[Kurdistan J Appl Res]]></source>
<year>2019</year>
<numero>4</numero>
<issue>4</issue>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cust]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Marques]]></surname>
<given-names><![CDATA[LC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Validade da amilasemia e da lipasemia no diagnóstico diferencial entre pancreatite aguda/crónica agudizada e outras causas de dor abdominal]]></article-title>
<source><![CDATA[Arq Gastroenterol]]></source>
<year>2003</year>
<volume>4</volume>
<page-range>233-8</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[Jasdanwala]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Babyatsky]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A critical evaluation of serum lípase and amylase as diagnostic tests for acute pancreatitis]]></article-title>
<source><![CDATA[Integr Mol Med]]></source>
<year>2015</year>
<volume>2</volume>
<page-range>189-95</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[Ismail]]></surname>
<given-names><![CDATA[OZ]]></given-names>
</name>
<name>
<surname><![CDATA[Bhayana]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Lipase or amylase for the diagnosis of acute pancreatitis?]]></article-title>
<source><![CDATA[Clin Biochem]]></source>
<year>2017</year>
<volume>50</volume>
<page-range>1275-80</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[Nozari]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Appendicitis as a complication of acute pancreatitis; A case report]]></article-title>
<source><![CDATA[Govaresh]]></source>
<year>2016</year>
<volume>21</volume>
<page-range>200-2</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[Bolam]]></surname>
<given-names><![CDATA[RF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Serum Amylase and Acute Abdominal Disease]]></article-title>
<source><![CDATA[Br Med J]]></source>
<year>1955</year>
<volume>2</volume>
<page-range>1086</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[Omid Amanollahi]]></surname>
<given-names><![CDATA[ST]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The study of diagnostic value of elevation of serum amylase as a predictive factor for appendiceal perforation in children with acute appendicitis]]></article-title>
<source><![CDATA[Int J Pediatr]]></source>
<year>2018</year>
<volume>6</volume>
<page-range>7213-7</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Agrawal]]></surname>
<given-names><![CDATA[VP]]></given-names>
</name>
<name>
<surname><![CDATA[Wasnik]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Kunal]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Khatri]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Acute pancreatitis Masquerading as acute appendicitis - A diagnostic dilemma]]></article-title>
<source><![CDATA[Int J Biomed Adv Res]]></source>
<year>2013</year>
<page-range>666-8</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lankisch]]></surname>
<given-names><![CDATA[PG]]></given-names>
</name>
<name>
<surname><![CDATA[Apte]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Banks]]></surname>
<given-names><![CDATA[PA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Acute pancreatitis]]></article-title>
<source><![CDATA[Lancet]]></source>
<year>2015</year>
<volume>386</volume>
<page-range>85-96</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sutar]]></surname>
<given-names><![CDATA[SS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Severe acute pancreatitis presenting as apendicular perforation an unusual presentation]]></article-title>
<source><![CDATA[J Med Sci Clin Res]]></source>
<year>2016</year>
<volume>04</volume>
<page-range>10085-8</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[McAninch]]></surname>
<given-names><![CDATA[SA]]></given-names>
</name>
<name>
<surname><![CDATA[Essenburg]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Pediatric subhepatic appendicitis with elevated lipase]]></article-title>
<source><![CDATA[Am J Emerg Med]]></source>
<year>2019</year>
<volume>37</volume>
<page-range>174.e1-174. e3</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
