<?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>S0300-90412020001200010</article-id>
<article-id pub-id-type="doi">10.24245/gom.v88i12.4270</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Rotura vesicouterina posparto eutócico en ausencia de cirugía uterina previa. Caso clínico y revisión bibliográfica]]></article-title>
<article-title xml:lang="en"><![CDATA[Vesicouterine rupture after vaginal delivery without previous uterine surgery. Case report and literature review]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz-Rabasa]]></surname>
<given-names><![CDATA[Beatriz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Espiau-Romera]]></surname>
<given-names><![CDATA[Andrea]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Laguna-Olmos]]></surname>
<given-names><![CDATA[Mariano]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández-García]]></surname>
<given-names><![CDATA[Cristina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ruiz-Peña]]></surname>
<given-names><![CDATA[Ana Cristina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cebolla-Gil]]></surname>
<given-names><![CDATA[Paula]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital San Pedro  ]]></institution>
<addr-line><![CDATA[Logroño ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitario Miguel Servet  ]]></institution>
<addr-line><![CDATA[Zaragoza ]]></addr-line>
<country>España</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>12</numero>
<fpage>905</fpage>
<lpage>911</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412020001200010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412020001200010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412020001200010&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  ANTECEDENTES:  La rotura uterina es una impredecible e infrecuente urgencia obstétrica con elevadas morbilidad y mortalidad materna y perinatal. El factor de riesgo más relevante es el antecedente de cirugía uterina.  OBJETIVO:  Documentar un caso de rotura vesicouterina completa, diagnosticado luego de un parto eutócico sin cirugía uterina previa. Revisar los factores de riesgo, la clínica y los signos de sospecha, el tratamiento más adecuado y el pronóstico de la madre y el recién nacido en casos de rotura uterina en útero no cicatricial.  CASO CLÍNICO:  Paciente de 35 años, con antecedente de dos embarazos y sin cirugías uterinas previas. El segundo embarazo evolucionó sin contratiempos, aunque requirió inducción del parto con un sistema de liberación vaginal prolongada de dinoprostona (10 mg) por indicación de gestación cronológicamente prolongada en la semana 41+5. El parto eutócico transcurrió con normalidad. Luego de la primera hora posparto se inició un cuadro de dolor abdominal progresivo y hematuria. La TAC objetivó un hemoperitoneo severo sugerente de una solución de continuidad en la vejiga urinaria, con desestructuración de las caras anterior y lateral del cuello uterino, hallazgos que se confirmaron intraoperatoriamente. Ante la severidad de los daños se practicó la histerectomía subtotal y la reparación vesical.  CONCLUSIONES:  Al parecer, la rotura uterina, en ausencia de cicatriz uterina previa, se asocia con mayor morbilidad y mortalidad materna y perinatal que los casos que ocurren en úteros cicatriciales. La sospecha diagnóstica, incluso en ausencia de factores de riesgo, y el diagnóstico y tratamiento tempranos son decisivos para disminuirla.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  BACKGROUND:  Uterine rupture is an unpredictable and infrequent obstetric emergency which is associated to a high maternal and perinatal morbi-mortality. The most important risk factor is prior uterine surgery.  OBJECTIVE:  To report a complete vesicouterine rupture case occurred after a vaginal delivery without prior uterine surgery. It is intended to review the risk factors, the suspicious signs and symptoms, as well as the optimal management and maternal and perinatal prognosis of uterine rupture in unscarred uterus.  CLINICAL CASE:  A 35-year-old woman, para 2 with neither uterine surgical procedures nor other medical records, had a normoevolutive pregnancy and required induction of labour with a dinoprostone vaginal slow-release system (10 mg) due to late-term pregnancy at 41+5 weeks. The labor progressed normally, ending in a vaginal delivery. After 1h postpartum, the patient started with a progressive abdominal pain and haematuria. The computerized tomography scan showed a severe hemoperitoneum and suggested the presence of a vesical continuity solution with disfiguration of the anterior and both lateral sides of the cervix, findings that were confirmed intraoperatively. Because of the severity of damages, a subtotal hysterectomy and a vesical reparation was performed.  CONCLUSIONS:  Uterine rupture without prior uterine surgery seems to associate a higher maternal and perinatal morbi-mortality regarding cases occurred in scarred uterus. Diagnostic suspicion, even in the absence of risk factors, and early diagnosis and management are crucial to decrease it.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Rotura uterina]]></kwd>
<kwd lng="es"><![CDATA[parto]]></kwd>
<kwd lng="es"><![CDATA[factores de riesgo]]></kwd>
<kwd lng="es"><![CDATA[embarazo]]></kwd>
<kwd lng="es"><![CDATA[inducción del trabajo de parto]]></kwd>
<kwd lng="es"><![CDATA[dinoprostona]]></kwd>
<kwd lng="es"><![CDATA[posparto]]></kwd>
<kwd lng="es"><![CDATA[dolor abdominal progresivo]]></kwd>
<kwd lng="en"><![CDATA[Uterine rupture]]></kwd>
<kwd lng="en"><![CDATA[Vaginal delivery]]></kwd>
<kwd lng="en"><![CDATA[Risk factors]]></kwd>
<kwd lng="en"><![CDATA[Pregnancy]]></kwd>
<kwd lng="en"><![CDATA[Induction of labour]]></kwd>
<kwd lng="en"><![CDATA[Dinoprostone]]></kwd>
<kwd lng="en"><![CDATA[Postpartum]]></kwd>
<kwd lng="en"><![CDATA[Progressive abdominal pain]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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