<?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>S0300-90412019000100009</article-id>
<article-id pub-id-type="doi">10.24245/gom.v87i1.2096</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Ruptura uterina secundaria a embarazo ectópico cornual del segundo trimestre]]></article-title>
<article-title xml:lang="en"><![CDATA[Uterine rupture secondary to ectopic pregnancy in the second trimester]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bañuelos-Vizcarra]]></surname>
<given-names><![CDATA[Esmeralda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López-Quintana]]></surname>
<given-names><![CDATA[Roberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández-Carreño]]></surname>
<given-names><![CDATA[Alfonso José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rascón-Alcantar]]></surname>
<given-names><![CDATA[Adela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Huerta-Peña]]></surname>
<given-names><![CDATA[Karla de Monserrat]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Camarena-Pulido]]></surname>
<given-names><![CDATA[Eva Elizabeth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mendoza-Andazola]]></surname>
<given-names><![CDATA[Rodolfo Isaac]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Integral de la Mujer del Estado de Sonora  ]]></institution>
<addr-line><![CDATA[Hermosillo ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Integral de la Mujer del Estado de Sonora  ]]></institution>
<addr-line><![CDATA[Hermosillo ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Integral de la Mujer del Estado de Sonora  ]]></institution>
<addr-line><![CDATA[Hermosillo ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Integral de la Mujer del Estado de Sonora  ]]></institution>
<addr-line><![CDATA[Hermosillo ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital General Regional 46 ]]></institution>
<addr-line><![CDATA[Guadalajara Jalisco]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Hospital Civil de Guadalajara Juan I  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,aff7  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2019</year>
</pub-date>
<volume>87</volume>
<numero>1</numero>
<fpage>67</fpage>
<lpage>73</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412019000100009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412019000100009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412019000100009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  ANTECEDENTES:  El embarazo ectópico cornual es poco común. La prevalencia estimada es de 2% y debido a su ubicación cercana a las arterias uterinas, el índice de mortalidad materna es de 10%.  CASO CLINICO:  Paciente de 42 años, con embarazo de 20.2 semanas, quien acudió al servicio de Urgencias por dolor pélvico opresivo, intenso, de 24 horas de evolución. A la exploración física se encontraron: tensión arterial 80-70 mmHg, frecuencia cardiaca de 112 latidos por minuto y signo de Murphy positivo. La biometría hemática reportó leucocitosis de 22.4/mL y hemoglobina de 10.7 g/dL. El ultrasonido evidenció un feto vivo de 21 semanas, con frecuencia cardiaca de 152 latidos por minuto, placenta grado 0-1, líquido amniótico normal, con abundante líquido libre en el espacio retroperitoneal. Los estudios de control de hemoglobina mostraron descenso a 5.38 g/dL, por lo que se decidió efectuar una laparotomía exploradora, en la que se encontró un embarazo ectópico cornual izquierdo; se extrajo el feto. Se practicó histerectomía subtotal, se trasladó a la paciente a la unidad de cuidados intensivos, donde su evolución fue satisfactoria.  CONCLUSION:  El diagnóstico de embarazo ectópico cornual sigue siendo difícil de establecer, su cuadro clínico puede simular otras alteraciones, con posibilidad de falla en 50-90% de los casos, dependiendo de la destreza del médico ultrasonografista y la sospecha clínica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  BACKGROUND:  The cornual ectopic pregnancy has an unusual location representing 2% of the prevalence and because of its location close to the uterine arteries it has a maternal mortality of 10%.  CLINICAL CASE:  A 42-year-old patient with a pregnancy of 20.2 weeks of gestation attended the emergency department for oppressive, intense pelvic pain of 24 hours of evolution; physical examination: blood pressure of 80/70 mmHg and heart rate 112 beats per minute in addition to Murphy positive, laboratory studies were collected with blood count that reported leukocytes: 22.4/mL) and hemoglobin of 10.7 g/dL. An ultrasonographic scan was performed, finding a single 21-week live product with a heart rate of 152 beats per minute, placental grade 0-1, normal amniotic fluid, with abundant free fluid in the retroperitoneal space. Control of hemoglobin was requested with decrease to 5.38 g/dL, so it was decided to go to exploratory laparotomy, finding broken left cornual ectopic pregnancy, which was extracted product of conception and subtotal hysterectomy was performed and subsequently moved to the Intensive Care Unit achieving an adequate evolution.  CONCLUSION:  The diagnosis of cornual ectopic pregnancy continues to be difficult to perform among medical entities, its clinical picture can simulate other entities with possibility of failure in the diagnosis by 50-90% depending on the skill of the ultrasonographer and clinical suspicion.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Embarazo ectópico cornual]]></kwd>
<kwd lng="es"><![CDATA[dolor abdominal]]></kwd>
<kwd lng="es"><![CDATA[histerectomía subtotal]]></kwd>
<kwd lng="en"><![CDATA[Cornual ectopic pregnancy]]></kwd>
<kwd lng="en"><![CDATA[Abdominal pain]]></kwd>
<kwd lng="en"><![CDATA[Subtotal hysterectomy]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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