<?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>S0300-90412019001000680</article-id>
<article-id pub-id-type="doi">10.24245/gom.v87i10.2886</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Hematoma espontáneo en la pared abdominal de una embarazada a término]]></article-title>
<article-title xml:lang="en"><![CDATA[Spontaneous rectus sheath hematoma in a term pregnancy]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ruiz-Campo]]></surname>
<given-names><![CDATA[Leyre]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vicente Iturbe]]></surname>
<given-names><![CDATA[María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Andrés-González]]></surname>
<given-names><![CDATA[Rocío de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lafalla-Bernad]]></surname>
<given-names><![CDATA[Olivia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-Gambau]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Abadía-Forcen]]></surname>
<given-names><![CDATA[María Teresa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Aragón]]></surname>
<given-names><![CDATA[Mónica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital San Jorge  ]]></institution>
<addr-line><![CDATA[Huesca ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital San Jorge  ]]></institution>
<addr-line><![CDATA[Huesca ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital San Jorge  ]]></institution>
<addr-line><![CDATA[Huesca ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital San Jorge  ]]></institution>
<addr-line><![CDATA[Huesca ]]></addr-line>
<country>España</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>10</numero>
<fpage>680</fpage>
<lpage>687</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412019001000680&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412019001000680&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412019001000680&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  ANTECEDENTES: El hematoma espontáneo de la pared abdominal, que aparece durante el embarazo, es una rara colección de sangre que origina síntomas inespecíficos que se asemejan a otros padecimientos más frecuentes en el embarazo. Esto dificulta el establecimiento temprano del diagnóstico y favorece que las opciones de tratamiento sean erróneas, con el consecuente aumento en la morbilidad materna y fetal.  CASO CLÍNICO:  Paciente con 37 + 2 semanas de embarazo, que acudió a Urgencias debido a un dolor intenso en el hipocondrio derecho, de inicio súbito. La paciente cursaba su cuarto embarazo, hasta entonces sin contratiempos. Los análisis de laboratorio practicados al ingreso no demostraron alteraciones. La ecografía abdominal reportó una masa heterogénea, de predominio ecogénico en el hemiabdomen derecho de 12 x 7 x 10 cm aparentemente localizada en la parte anterior de la pared abdominal. En su interior no había vascularizaciones. Se localizó un feto único, en posición cefálica, con latidos cardiacos positivos y placenta anterior con inserción normal. El índice de líquido amniótico también se reportó normal. El registro cardiotocográfico evidenció un trazo reactivo, sin advertir dinámica uterina. Ante la sospecha diagnóstica de hematoma espontáneo en la pared abdominal se optó por la conducta expectante, con controles seriados de hemograma y administración de analgesia intravenosa. Ante la evolución favorable de la paciente se la dio de alta al octavo día del proceso y, posteriormente, en la semana 40+3 el embarazo finalizó mediante parto eutócico, sin contratiempos agregados.  CONCLUSIONES: En la embarazada es importante incluir al hematoma espontáneo en el diagnóstico diferencial de dolor abdominal agudo, para poder indicar el tratamiento adecuado.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  BACKGROUND: The spontaneous abdominal wall hematoma during pregnancy is a rare entity with nonspecific symptoms that resemble other more frequent pathologies in pregnancy. This makes difficult a proper initial diagnosis, which leads to erroneous management actions with the consequent adverse maternofetal outcomes.  OBJECTIVE: Spread this unusual pathology in daily practice.  CLINICAL CASE:  Fourth pregnancy of 37 + 2 weeks who comes to the Emergency Room due to severe pain in the right hypochondrium of sudden onset. Regular gestational course so far. Analytics at the admission does not show alterations. Abdominal ultrasound was performed, where a heterogeneous mass of echogenic predominance was observed in the right hemiabdomen of 12x7x10 cm which appears to be located in the anterior abdominal wall. There was no vascularization inside. Single fetus in cephalic, positive heartbeat and anterior placenta well implanted. The amniotic liquid was normal. A non-stress test was performed which showed a reactive fetus, without objectifying uterine dynamics. Due to the diagnostic suspicion of spontaneous hematoma of the abdominal wall, expectant management with serial blood count controls was decided, and endovenous analgesia was established. The patient presented favorable evolution, so she was discharged on the eight day and later on week 40+3 of pregnancy she presented an eutocic delivery, without any additional incidence.  CONCLUSIONS: It is important to include this entity within the differential diagnosis of acute abdominal pain in pregnancy in order to carry out an adequate management.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Hematoma de la pared abdominal]]></kwd>
<kwd lng="es"><![CDATA[embarazo]]></kwd>
<kwd lng="es"><![CDATA[diagnóstico diferencial]]></kwd>
<kwd lng="es"><![CDATA[tratamiento del dolor]]></kwd>
<kwd lng="es"><![CDATA[dolor abdominal]]></kwd>
<kwd lng="es"><![CDATA[placenta]]></kwd>
<kwd lng="en"><![CDATA[Abdominal Wall hematoma]]></kwd>
<kwd lng="en"><![CDATA[Pregnancy]]></kwd>
<kwd lng="en"><![CDATA[Diagnosis differential]]></kwd>
<kwd lng="en"><![CDATA[Pain management]]></kwd>
<kwd lng="en"><![CDATA[Abdominal pain]]></kwd>
<kwd lng="en"><![CDATA[Placenta]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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