<?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>0300-9041</journal-id>
<journal-title><![CDATA[Ginecología y obstetricia de México]]></journal-title>
<abbrev-journal-title><![CDATA[Ginecol. obstet. Méx.]]></abbrev-journal-title>
<issn>0300-9041</issn>
<publisher>
<publisher-name><![CDATA[Federación Mexicana de Colegios de Obstetricia y Ginecología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0300-90412020000300007</article-id>
<article-id pub-id-type="doi">10.24245/gom.v88i3.3618</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Evisceración intestinal transvaginal espontánea idiopática. Reporte de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Idiopathic spontaneous transvaginal intestinal evisceration. Case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Manzano]]></surname>
<given-names><![CDATA[Roberto Armando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Argüello-Cancino]]></surname>
<given-names><![CDATA[Jorge David]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Dávila-Ruíz]]></surname>
<given-names><![CDATA[Ediel Osvaldo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Santiago]]></surname>
<given-names><![CDATA[Nallely Ytandehui]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Sur de Puebla  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General Sur de Puebla  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital General Sur de Puebla  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<volume>88</volume>
<numero>3</numero>
<fpage>176</fpage>
<lpage>180</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412020000300007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412020000300007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412020000300007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  ANTECEDENTES:  La evisceración por vía vaginal es una urgencia quirúrgica poco frecuente, con menos de 100 reportes en la bibliografía. Se asocia con múltiples factores, el más importante es la cirugía ginecológica por vía vaginal. La presentación clínica es variable y el tratamiento consiste en cirugía de urgencia para disminuir la morbilidad y mortalidad asociada con las complicaciones.  CASO CLÍNICO:  Paciente de 63 años, sin antecedentes quirúrgicos o procedimientos por vía vaginal, referida del segundo nivel al Hospital Regional de Alta Especialidad de Oaxaca, con diagnóstico de evisceración por vía vaginal, posterior a una maniobra de Valsalva cuando evacuaba, con posterior sensación de cuerpo extraño en el canal vaginal. Fue valorada en el servicio de Urgencias de un hospital de tercer nivel en donde se la encontró hemodinámicamente estable, con signos vitales en parámetros normales, taquicárdica, con 103 latidos por minuto. De inmediato fue intervenida y en el transoperatorio se evidenció la ruptura de la cúpula vaginal, con evisceración y necrosis de 100 cm de íleon terminal. Se le practicaron: resección, anastomosis y cierre primario del defecto vaginal. Se le tomó biopsia del cuello uterino; la colposcopia se reportó con malignidad negativa. El posoperatorio evolucionó sin contratiempos.  CONCLUSIÓN:  Hasta ahora, se encuentran menos de 100 reportes de esta complicación, que requiere de sospecha y tratamiento oportuno para disminuir la morbilidad y mortalidad asociada. Lo relevante de este caso es la ausencia de antecedentes quirúrgicos que pudieran ser la causa.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  BACKGROUND:  Vaginal evisceration is a rare entity, with less than 100 reports in the -literature, which is associated with multiple factors, the most important being the history of a gynecological surgical approach by vaginal approach. The clinical presentation is variable, and the treatment is based on emergency surgery to reduce the associated morbidity and mortality.  CLINICAL CASE:  The case of a 63-year-old female with no surgical history or vaginal procedures with a diagnosis of vaginal evisceration after performing a Valsalva maneuver when evacuating with a foreign body sensation in the vaginal canal, presenting a vaginal dome rupture, with evisceration and necrosis of the case is presented. 100 cm of terminal ileum who undergoes surgical time with resection, anastomosis as well as primary closure of vaginal defect, presents pathology report, cervical biopsy, as well as negative colposcopy of malignancy.  CONCLUSION:  So far, there are fewer than 100 reports of this complication, which requires suspicion and timely treatment to reduce the associated morbidity and mortality. What is relevant in this case is the absence of a surgical history that could be the cause.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Evisceración vaginal]]></kwd>
<kwd lng="es"><![CDATA[procedimientos quirúrgicos ginecológicos]]></kwd>
<kwd lng="es"><![CDATA[maniobra de Valsalva]]></kwd>
<kwd lng="es"><![CDATA[sensación de cuerpo extraño]]></kwd>
<kwd lng="es"><![CDATA[anastomosis]]></kwd>
<kwd lng="es"><![CDATA[quirúrgica]]></kwd>
<kwd lng="en"><![CDATA[Vaginal evisceration]]></kwd>
<kwd lng="en"><![CDATA[Gynecological Surgical Procedures]]></kwd>
<kwd lng="en"><![CDATA[Valsalva Maneuver]]></kwd>
<kwd lng="en"><![CDATA[Foreign body sensation]]></kwd>
<kwd lng="en"><![CDATA[Anastomosis]]></kwd>
<kwd lng="en"><![CDATA[Surgical]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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