<?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>S0300-90412017000600396</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Diástasis de la sínfisis púbica posparto]]></article-title>
<article-title xml:lang="en"><![CDATA[Postpartum pubic symphysis diastasis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Agustín-Oliva]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz-Rabasa]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Estallo-Bernardos]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez-Solanilla]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Padin-Fabeiro]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castán-Mateo]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Miguel Servet Servicio de Obstetricia y Ginecología ]]></institution>
<addr-line><![CDATA[Zaragoza ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Reina Sofía de Tudela Servicio de Rehabilitación ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Clínico Universitario Lozano Blesa  ]]></institution>
<addr-line><![CDATA[Zaragoza ]]></addr-line>
<country>Spain</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2017</year>
</pub-date>
<volume>85</volume>
<numero>6</numero>
<fpage>396</fpage>
<lpage>402</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412017000600396&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412017000600396&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412017000600396&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  ANTECEDENTES: ante un dolor pélvico intenso en una paciente embarazada, durante el parto o puerperio inmediato, debe considerarse la posibilidad de diástasis de la sínfisis del pubis, que es una afección poco frecuente e infradiagnosticada que puede resultar muy dolorosa e invalidante porque daña considerablemente la calidad de vida. A la exploración física se advierte: dolor intenso en la sínfisis púbica, que puede irradiarse hacia la zona lumbar o ambos muslos. Para establecer el diagnóstico definitivo es necesaria una prueba de imagen que muestre una separación entre ambas ramas &#8805; 10 mm. En función de la clínica y el grado de separación puede optarse por un tratamiento conservador o, bien, por una intervención quirúrgica con osteosíntesis y estabilización del anillo pélvico.  CASO CLÍNICO:  paciente que luego de un parto eutócico experimentó dolor pélvico intenso e incapacidad para la deambulación y sedestación. Con base en la imagen radiográfica antero-posterior de la pelvis se estableció el diagnóstico de diástasis severa de la sínfisis del pubis, con afectación de la articulación sacroiliaca. El tratamiento fue quirúrgico, con buena evolución posterior.  CONCLUSIONES: las formas leves de esta afección son infradiagnosticadas. El retraso en el diagnóstico y tratamiento implica dolor residual y empeora el pronóstico de la enfermedad. Es importante tener en mente este diagnóstico a la hora del diagnóstico diferencial de dolor pélvico en una paciente embarazada o puérpera.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  BACKGROUND: In the presence of severe pelvic pain in a pregnant patient, during childbirth or the immediate puerperium, it is necessary to consider the possibility of a diastasis of the pubic symphysis. It is a rare and underdiagnosed pathology that can be very painful and invalidating and seriously worsens the quality of life. Physical examination shows intense pain at the level of the pubic symphysis that can radiate towards the lower back or both thighs. Definitive diagnosis requires an image test showing a separation between the two pubic bones &#8805;10 mm. Depending on symptomatology and the degree of separation, it is possible a conservative treatment or surgery, with osteosynthesis and stabilization of the pelvic ring.  CLINICAL CASE:  Patient who experienced intense pelvic pain and incapacity for ambulation and sedation after a eutocic delivery for ambulation and sedestation. After an anteroposterior radiograph of the pelvis, a severe diastasis of the pubic symphysis was diagnosed with affectation of the sacroiliac joint and required surgical treatment with a favourable evolution.  CONCLUSIONS: Mild forms of this condition are underdiagnosed. Delay in diagnosis and treatment involves residual pain and worsens the prognosis of the disease. It is important to keep this diagnosis in mind at the time of the differential diagnosis of pelvic pain in a pregnant or puerperal patient.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[diástasis]]></kwd>
<kwd lng="es"><![CDATA[sínfisis]]></kwd>
<kwd lng="es"><![CDATA[pubis]]></kwd>
<kwd lng="es"><![CDATA[embarazo]]></kwd>
<kwd lng="es"><![CDATA[puerperio]]></kwd>
<kwd lng="en"><![CDATA[Diastasis]]></kwd>
<kwd lng="en"><![CDATA[Pubis]]></kwd>
<kwd lng="en"><![CDATA[Symphysis]]></kwd>
<kwd lng="en"><![CDATA[Pregnancy]]></kwd>
<kwd lng="en"><![CDATA[Puerperium]]></kwd>
</kwd-group>
</article-meta>
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