<?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>S0300-90412021000800010</article-id>
<article-id pub-id-type="doi">10.24245/gom.v89i8.5233</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Hematoma de la vaina de los rectos como complicación de cirugía ginecológica: caso clínico y revisión de la bibliografía]]></article-title>
<article-title xml:lang="en"><![CDATA[Rectus sheath hematoma as a complication of gynecologic surgery: case report and literature review]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Casteleiro-Deus]]></surname>
<given-names><![CDATA[Natalia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pardo-Pumar]]></surname>
<given-names><![CDATA[María Isabel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vidal-Hernández]]></surname>
<given-names><![CDATA[Rita]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bobillo-Varela]]></surname>
<given-names><![CDATA[Carmen]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moral-Santamarina]]></surname>
<given-names><![CDATA[José Eloy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Complejo Hospitalario Universitario de Pontevedra Servicio Gallego de Salud ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Complejo Hospitalario Universitario de Pontevedra Servicio Gallego de Salud ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Complejo Hospitalario Universitario de Pontevedra Servicio Gallego de Salud ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Complejo Hospitalario Universitario de Pontevedra Servicio Gallego de Salud ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</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>8</numero>
<fpage>655</fpage>
<lpage>661</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412021000800010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412021000800010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412021000800010&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  ANTECEDENTES:  El hematoma de la vaina de los rectos es un hallazgo infrecuente que, en múltiples ocasiones, se asocia con factores predisponentes, como la cirugía laparoscópica.  OBJETIVOS:  Definir la etiología, los posibles factores predisponentes y desencadenantes relacionados. Realizar una aproximación a la clínica más frecuente, pruebas diagnósticas más relevantes y tratamientos más adecuados.  CASO CLÍNICO:  Paciente de 46 años, con diagnóstico de quiste anexial derecho, propuesta para intervención quirúrgica laparoscópica. A los dos días del posoperatorio tuvo un cuadro de dolor abdominal agudo acompañado de descenso de la hemoglobina. En las pruebas de imagen se objetivó un gran hematoma en la pared abdominal, en la zona del recto abdominal, con sangrado activo. El tratamiento quirúrgico permitió identificar, ligar el vaso sangrante y drenar el hematoma. Durante el posoperatorio la paciente evolucionó favorablemente por lo que fue dada de alta, asintomática.  CONCLUSIONES:  Si bien el hematoma de la vaina de los rectos es un hallazgo clínico excepcional que suele disolverse con tratamiento conservador, en algunas ocasiones el retraso en el diagnóstico puede suponer un riesgo vital para la paciente. Es una alteración que debe tenerse en mente a la hora de establecer el diagnóstico diferencial de los cuadros de dolor abdominal agudo. Es así como puede llegarse al diagnóstico preciso y temprano, e indicar el tratamiento más adecuado a cada caso.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  BACKGROUND:  Rectal sheath hematoma is an infrequent finding that, on multiple occasions, is associated with predisposing factors, such as laparoscopic surgery.  OBJECTIVES:  To define the etiology, possible predisposing factors and related triggers. To approach the most frequent clinical manifestations, the most relevant diagnostic tests and the most appropriate treatments.  CLINICAL CASE:  46-year-old patient, diagnosed with right adnexal cyst, proposed for laparoscopic surgery. Two days postoperatively she presented with acute abdominal pain accompanied by a drop in hemoglobin. Imaging tests showed a large hematoma in the abdominal wall, in the rectus abdominis area, with active bleeding. Surgical treatment allowed identification and ligation of the bleeding vessel and drainage of the hematoma. During the postoperative period the patient evolved favorably and was discharged asymptomatic.  CONCLUSIONS:  Although rectus sheath hematoma is an exceptional clinical finding that usually dissolves with conservative treatment, on some occasions the delay in diagnosis can be life-threatening for the patient. It is a condition that should be kept in mind when establishing the differential diagnosis of acute abdominal pain. This is how an accurate and early diagnosis can be reached, and the most appropriate treatment for each case can be indicated.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Hematoma rectal]]></kwd>
<kwd lng="es"><![CDATA[factores predisponentes]]></kwd>
<kwd lng="es"><![CDATA[cirugía laparoscópica]]></kwd>
<kwd lng="es"><![CDATA[pruebas diagnósticas]]></kwd>
<kwd lng="es"><![CDATA[diagnóstico diferencial]]></kwd>
<kwd lng="es"><![CDATA[tratamiento conservador]]></kwd>
<kwd lng="es"><![CDATA[posoperatorio]]></kwd>
<kwd lng="es"><![CDATA[dolor abdominal agudo]]></kwd>
<kwd lng="es"><![CDATA[hemoglobina]]></kwd>
<kwd lng="es"><![CDATA[pared abdominal]]></kwd>
<kwd lng="es"><![CDATA[drenaje]]></kwd>
<kwd lng="es"><![CDATA[descarga]]></kwd>
<kwd lng="en"><![CDATA[Rectal hematoma]]></kwd>
<kwd lng="en"><![CDATA[Predisposing factors]]></kwd>
<kwd lng="en"><![CDATA[Laparoscopic surgery]]></kwd>
<kwd lng="en"><![CDATA[Diagnostic tests]]></kwd>
<kwd lng="en"><![CDATA[Diagnosis differential]]></kwd>
<kwd lng="en"><![CDATA[Conservative treatment]]></kwd>
<kwd lng="en"><![CDATA[Postoperatively]]></kwd>
<kwd lng="en"><![CDATA[Acute abdominal pain]]></kwd>
<kwd lng="en"><![CDATA[Hemoglobin]]></kwd>
<kwd lng="en"><![CDATA[Abdominal wall]]></kwd>
<kwd lng="en"><![CDATA[Drainage]]></kwd>
<kwd lng="en"><![CDATA[Discharge]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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