<?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>S0300-90412019001000688</article-id>
<article-id pub-id-type="doi">10.24245/gom.v87i10.3036</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Embarazo cervical tratado de forma divergente. Reporte de dos casos]]></article-title>
<article-title xml:lang="en"><![CDATA[Report of two cases of cervical pregnancy treated in a divergent way]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Macías-Duvignau]]></surname>
<given-names><![CDATA[José Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Río de la Loza-Jiménez]]></surname>
<given-names><![CDATA[Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Manríquez-Angulo]]></surname>
<given-names><![CDATA[Roberto Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Río de la Loza-Cava]]></surname>
<given-names><![CDATA[Leopoldo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-Guerrero]]></surname>
<given-names><![CDATA[Santiago]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Institución Ginecoobstétrica y de Perinatología Alexander Von Humboldt  ]]></institution>
<addr-line><![CDATA[Naucalpan Estado de México]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Ginecología y Obstetricia. Institución Ginecoobstétrica y de Perinatología Alexander Von Humboldt  ]]></institution>
<addr-line><![CDATA[Naucalpan Estado de México]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Institución Ginecoobstétrica y de Perinatología Alexander Von Humboldt  ]]></institution>
<addr-line><![CDATA[Naucalpan Estado de México]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Institución Ginecoobstétrica y de Perinatología Alexander Von Humboldt  ]]></institution>
<addr-line><![CDATA[Naucalpan Estado de México]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Institución Ginecoobstétrica y de Perinatología Alexander Von Humboldt  ]]></institution>
<addr-line><![CDATA[Naucalpan Estado de México]]></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>10</numero>
<fpage>688</fpage>
<lpage>695</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412019001000688&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412019001000688&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412019001000688&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  ANTECEDENTES: La implantación del cigoto en el cuello uterino sucede en 0.1% de los embarazos ectópicos. Su incidencia ha aumentado con las técnicas de reproducción asistida y el aborto programado.  PRIMER CASO: Paciente primigesta, de 34 años, a quien se le diagnosticó aborto incompleto de seis semanas. Al practicarse el legrado se encontró la cavidad uterina vacía y por ultrasonido se detectó el saco gestacional en el cuello uterino. Se trató con metotrexato y ácido fólico, con desenlace exitoso.  SEGUNDO CASO: Paciente de 30 años, dos embarazos y una cesárea; acudió a consulta debido a dolor abdominal y sangrado transvaginal intermitente, con cuatro meses de evolución antes de su hospitalización. El padecimiento se inició después de interrumpir, de manera programada, el embarazo en el primer trimestre, con medicamentos y legrado uterino. En la revisión, el fondo uterino se encontró de 20 cm, con latido fetal. El ultrasonido mostró un embarazo de 19.5 semanas, con placenta previa; posteriormente, en el servicio de Medicina materno fetal se estableció el diagnóstico de acretismo placentario. El diagnóstico de embarazo cervical se estableció mediante resonancia magnética a la semana 37 y se practicó cesárea con nacimiento de feto vivo.  CONCLUSIONES: El embarazo ectópico cervical es excepcional y de difícil diagnóstico; su incidencia va en aumento. En embarazos del primer trimestre es posible indicar tratamientos médicos conservadores y algunos casos pueden llegar a término.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  BACKGROUND: Zygote implantation in the cervix occurs in 0.1% of ectopic pregnancies. Its incidence has increased with assisted reproduction and elective abortion. Two cases and their medical management are presented.  FIRST CASE:  A 34-year-old primiparous patient who was diagnosed with incomplete abortion after six weeks of pregnancy. When a uterine curettage was performed, the uterine cavity was found empty and the presence of the gestational sac was demonstrated in the cervix. She was treated with methotrexate plus folic acid with successful results.  SECOND CASE:  30-year-old patient, two pregnancies and a C-section; He went to the office due to abdominal pain and intermittent transvaginal bleeding, with four months of evolution before hospitalization. The condition began after interrupting, on a scheduled basis, pregnancy in the first trimester, with medication and uterine curettage. In the review, the uterine fundus was 20 cm, with fetal heartbeat. The ultrasound showed a pregnancy of 19.5 weeks with placenta previa and later in the service of maternal-fetal medicine, the diagnosis of placenta accreta was established. In this case, the diagnosis of cervical pregnancy was made by magnetic resonance until week 37 and was resolved by cesarean section, achieving the birth of a live product.  CONCLUSIONS:  Ectopic cervical pregnancy is exceptional and difficult to diagnose; Its incidence is increasing. In pregnancies of the first trimester it is possible to indicate conservative medical treatments and some cases may come to an end.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Cigoto]]></kwd>
<kwd lng="es"><![CDATA[cuello uterino]]></kwd>
<kwd lng="es"><![CDATA[embarazo ectópico]]></kwd>
<kwd lng="es"><![CDATA[aborto]]></kwd>
<kwd lng="es"><![CDATA[embarazo ectópico cervical]]></kwd>
<kwd lng="es"><![CDATA[primer trimestre]]></kwd>
<kwd lng="es"><![CDATA[tercer trimestre]]></kwd>
<kwd lng="es"><![CDATA[aborto incompleto]]></kwd>
<kwd lng="es"><![CDATA[placenta previa]]></kwd>
<kwd lng="es"><![CDATA[placenta acreta]]></kwd>
<kwd lng="en"><![CDATA[Zygote]]></kwd>
<kwd lng="en"><![CDATA[Cervix]]></kwd>
<kwd lng="en"><![CDATA[Ectopic pregnancies]]></kwd>
<kwd lng="en"><![CDATA[Abortion]]></kwd>
<kwd lng="en"><![CDATA[Cervical ectopic pregnancy]]></kwd>
<kwd lng="en"><![CDATA[First trimester]]></kwd>
<kwd lng="en"><![CDATA[Third trimester]]></kwd>
<kwd lng="en"><![CDATA[Abortion incomplete]]></kwd>
<kwd lng="en"><![CDATA[Placenta previa]]></kwd>
<kwd lng="en"><![CDATA[Placenta Accreta]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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