<?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>S0300-90412021000500420</article-id>
<article-id pub-id-type="doi">10.24245/gom.v89i5.4060</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Embarazo extrauterino en el epiplón. Reporte de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Extrauterine pregnancy in omentum. A case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villagómez-Mendoza]]></surname>
<given-names><![CDATA[Edgar Allan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sotelo-Rubio]]></surname>
<given-names><![CDATA[Ana Cecilia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General de Ecatepec Dr. José María Rodríguez  ]]></institution>
<addr-line><![CDATA[ Estado de México]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General de Ecatepec Dr. José María Rodríguez  ]]></institution>
<addr-line><![CDATA[ Estado de México]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<volume>89</volume>
<numero>5</numero>
<fpage>420</fpage>
<lpage>423</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412021000500420&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412021000500420&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412021000500420&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  ANTECEDENTES: El embarazo abdominal tiene una incidencia estimada de 1 caso por cada 10,000 nacimientos y corresponde a 1.4% de todos los embarazos ectópicos. Hasta ahora no se ha determinado si son consecuencia de una implantación secundaria a un embarazo tubario abortado o de la fertilización intraabdominal.  CASO CLÍNICO: Paciente de 36 años, acudió a urgencias debido a un sangrado transvaginal acompañado de dolor abdominal localizado en el hipogastrio. Tenía amenorrea de 8 semanas. Signos vitales: tensión arterial 100-60 mmHg, frecuencia cardiaca 83 lpm, frecuencia respiratoria 21 rpm y temperatura 36.5 oC. La prueba inmunológica de embarazo se reportó positiva. En el ultrasonido pélvico el útero carecía de gestación intrauterina. La lesión anexial derecha era compleja y oval. Puesto que había líquido libre en la cavidad se llevó a cabo una laparotomía exploradora; se encontró un saco gestacional implantado en el epiplón, sangrante. Se decidió la escisión quirúrgica parcial del epiplón afectado, procedimiento que resultó exitoso. El transoperatorio trascurrió sin complicaciones por lo que la paciente fue dada de alta del hospital a las 48 horas, sin contratiempos.  CONCLUSIÓN: El embarazo abdominal es poco frecuente, el diagnóstico y atención oportunos marcan la diferencia en el índice de mortalidad materna. La correlación clínica y los factores de riesgo apoyados con auxiliares de diagnóstico facilitan aún más su sospecha.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  BACKGROUND: Abdominal pregnancy has an estimated incidence of 1 case per 10,000 births and corresponds to 1.4% of all ectopic pregnancies. Whether they result from secondary implantation of an aborted tubal pregnancy or from intra-abdominal fertilization has not been determined to date.  CLINICAL CASE: A 36-year-old female patient came to the emergency room due to transvaginal bleeding accompanied by abdominal pain located in the hypogastrium. She had been amenorrheic for 8 weeks. Vital signs: blood pressure 100-60 mmHg, heart rate 83 bpm, respiratory rate 21 rpm and temperature 36.5 oC. Immunological pregnancy test was reported positive. On pelvic ultrasound the uterus lacked intrauterine gestation. The right adnexal lesion was complex and oval. Since there was free fluid in the cavity, an exploratory laparotomy was performed; a gestational sac was found implanted in the omentum, bleeding. Partial surgical excision of the affected omentum was decided, and the procedure was successful. The trans-operative course was uneventful, and the patient was discharged from the hospital after 48 hours, without complications.  CONCLUSION: Abdominal pregnancy is rare, early diagnosis and treatment make a difference in the maternal mortality rate. Clinical correlation and risk factors supported by diagnostic aids further facilitate its suspicion.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Embarazo abdominal]]></kwd>
<kwd lng="es"><![CDATA[incidencia]]></kwd>
<kwd lng="es"><![CDATA[embarazo tubario]]></kwd>
<kwd lng="es"><![CDATA[fertilización]]></kwd>
<kwd lng="es"><![CDATA[dolor abdominal]]></kwd>
<kwd lng="es"><![CDATA[prueba de embarazo]]></kwd>
<kwd lng="es"><![CDATA[laparotomía]]></kwd>
<kwd lng="en"><![CDATA[Abdominal pregnancy]]></kwd>
<kwd lng="en"><![CDATA[Incidence]]></kwd>
<kwd lng="en"><![CDATA[Tubal pregnancy]]></kwd>
<kwd lng="en"><![CDATA[Fertilization]]></kwd>
<kwd lng="en"><![CDATA[Abdominal pain]]></kwd>
<kwd lng="en"><![CDATA[Pregnancy test]]></kwd>
<kwd lng="en"><![CDATA[Laparotomy]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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