<?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>S0300-90412017000100006</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Fístula arteriovenosa uterina-pólipo placentario: tratamiento histeroscópico. Reporte de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Uterine arteriovenous fistula - placental polyps: hysteroscopic treatment, case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez-Usabiaga]]></surname>
<given-names><![CDATA[RA]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-Becerra]]></surname>
<given-names><![CDATA[JE]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Romero-Tovar]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hurtado-Amador]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Batista-Espinoza]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Médica Fértil  ]]></institution>
<addr-line><![CDATA[Querétaro ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,aff2  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>01</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>01</month>
<year>2017</year>
</pub-date>
<volume>85</volume>
<numero>1</numero>
<fpage>27</fpage>
<lpage>31</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412017000100006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412017000100006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412017000100006&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  OBJETIVO:  exponer el caso clínico de una paciente con fístula arteriovenosa uterina secundaria a legrado instrumentado, asociada con pólipos placentarios.  CASO CLÍNICO:  paciente de 29 años de edad, que acudió a consulta médica por deseo de embarazo, obtenido de manera espontánea, que finalizó en aborto por embarazo anembriónico de 8 semanas. El médico tratante efectuó legrado uterino instrumentado. Cinco meses después del evento, la paciente tuvo sangrado uterino anormal (abundante), que requirió hospitalización. El ultrasonido reportó útero con aumento de vascularización en la pared posterior, con sospecha de fístulas arteriovenosas, velocimetría Doppler normal y diástole alta de baja resistencia. El médico le sugirió embolización arterial selectiva. Una vez valorada por el equipo médico, se efectuó la evaluación integral de la patología uterina mediante ultrasonido, en el que se observó una masa intracavitaria con ecos mixtos, sugerentes de retención de restos ovuloplacentarios, comprobados posteriormente con histeroscopia. Durante el procedimiento histeroscópico (efectuado con histeroscopio Hopkins II Karl Storz de 2 mm y &#8220;camisa&#8221; diagnóstica de 2.8 mm de grosor) se detectó una masa compatible con restos ovuloplacentarios adheridos a la cara posterior del útero. Después de la valoración integral se decidió efectuar la evacuación uterina, por vía histeroscópica, con resectoscopio sin energía. El estudio histopatológico reportó restos ovuloplacentarios con marcados cambios por retención, decidua necrótica y hemorrágica, con inflamación subaguda severa. La paciente evolucionó satisfactoriamente durante el periodo posquirúrgico. La evaluación ultrasonográfica de control no mostró la fístula arteriovenosa uterina (desapareció la imagen en &#8220;ovillo&#8221;).]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  OBJECTIVE:  We report a case of a patient with arteriovenous fistula secondary to an instrumented uterine curettage, related to presence of placental polyps.  CLINICAL CASE:  A 29-year-old woman, who went to a doctor&#8217;s office for a pregnancy protocol, reached spontaneously, but its finalized in abortion for an anembrionrary pregnancy of 8 weeks. The Doctor performed instrumented uterine curettage. Five months after the event, the patient had abnormal (abundant) uterine bleeding, which required hospitalization. Ultrasound with increased vascularization in the posterior wall, with suspected venereal arteries, normal Doppler velocimetry, and low diastole with low resistance. The physician suggested selective arterial embolization. A comprehensive evaluation of the pathology was performed by ultrasound, in which an intracavitary mass was observed with mixed echoes, suggestions of retention of ovuloplacental remains, later verified with hysteroscopy. During the hysteroscopic procedure (with Hopkins II, Karl Storz of 2 mm and a 2.8 mm "diagnostic" shirt), a mass compatible with the ovuloplacental remains attached to the posterior aspect of the uterus was detected. After the integral evaluation, it was decided to perform the uterine evacuation, using hysteroscopy, with a resectoscope without energy. The histopathological study reported ovuloplacental remains with marked changes by retention, necrotic and hemorrhagic decidua, with severe subacute inflammation. The patient progressed satisfactorily during the postoperative period. The ultrasonographic evaluation of control did not show the arteriovenous fistula.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[cirugía]]></kwd>
<kwd lng="es"><![CDATA[histeroscopia]]></kwd>
<kwd lng="es"><![CDATA[pólipos placentarios]]></kwd>
<kwd lng="es"><![CDATA[retención de productos de la concepción]]></kwd>
<kwd lng="en"><![CDATA[Surgery]]></kwd>
<kwd lng="en"><![CDATA[Hysteroscopy]]></kwd>
<kwd lng="en"><![CDATA[Placental polyps]]></kwd>
<kwd lng="en"><![CDATA[Retained products of conception]]></kwd>
</kwd-group>
</article-meta>
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