<?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>S0300-90412020000100009</article-id>
<article-id pub-id-type="doi">10.24245/gom.v88i1.3485</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Síndrome Mayer-Rokitansky-Küster-Hauser con prolapso de órganos pélvicos: reporte de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Mayer-Rokitansky-Küster-Hauser syndrome with pelvic organ prolapse: Case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramírez-Isarraraz]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez-Colorado]]></surname>
<given-names><![CDATA[Esther Silvia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gorbea-Chávez]]></surname>
<given-names><![CDATA[Viridiana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Granados-Martínez]]></surname>
<given-names><![CDATA[Verónica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Olvera-Delgado]]></surname>
<given-names><![CDATA[José Jonatán]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bravo-Canales]]></surname>
<given-names><![CDATA[Germán Román]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Perinatología Isidro Espinosa de los Reyes Clínica de Urología Ginecológica ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Nacional de Perinatología Isidro Espinosa de los Reyes Clínica de Urología Ginecológica ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Nacional de Perinatología Isidro Espinosa de los Reyes Clínica de Urología Ginecológica ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Instituto Nacional de Perinatología Isidro Espinosa de los Reyes Clínica de Urología Ginecológica ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<volume>88</volume>
<numero>1</numero>
<fpage>54</fpage>
<lpage>58</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412020000100009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412020000100009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412020000100009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  ANTECEDENTES: El síndrome de Mayer-Rokitansky-Küster-Hauser aparece en 1 de cada 4500 a 5000 mujeres; se origina por subdesarrollo embrionario de los conductos de Müller que resulta en agenesia vaginal o de útero. El tratamiento consiste en dilataciones vaginales o formación de una neovagina mediante un procedimiento quirúrgico. La falta de estructuras de soporte vaginal es una de las causas del prolapso de la cúpula vaginal, posterior al tratamiento conservador o quirúrgico.  CASO CLÍNICO: Paciente de 26 años, con diagnóstico de síndrome de Mayer-Rokitansky-Küster-Hauser; inicio de la vida sexual activa a los 16 años. Acudió a consulta por sensación de cuerpo extraño en los genitales y un &#8220;bulto&#8221; vaginal de dos años de evolución. En la exploración física ginecológica se encontró un prolapso total vaginal. Se realizó la sacrocolpopexia laparoscópica y se colocó una malla tipo I, con monofilamento, para la corrección del prolapso vaginal. A los tres meses posteriores al procedimiento quirúrgico no volvió a reportar síntomas de sensación de cuerpo extraño en la vagina y reinició la vida sexual activa sin problemas.  CONCLUSIONES: La sacrocolpopexia laparoscópica, junto con la colocación de una malla, es una opción de tratamiento con buenos resultados en la restauración de la anatomía, función sexual y satisfacción de la paciente con prolapso de la cúpula, posterior a creación de una neovagina.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  BACKGROUND: The Mayer-Rokitansky-Küster-Hauser syndrome, has an incidence of 1 per 4,500 to 5,000 women, is caused by an embryonic underdevelopment of the müllerian ducts, resulting in agenesis of the vagina or uterus. There is treatment based on dilatations and creation of neovagina by surgery. Prolapse of the vaginal vault in Mayer-Rokitansky-Küster-Hauser syndrome is rare and may occur after conservative or surgical treatments. The lack of vaginal support structures can lead these patients to develop a vaginal vault prolapse  CASE:  A 26-year-old woman, who started sexual life at 16 years of age. He came to the clinic due to a sensation of a foreign body in the genitals and vaginal bulge of two years of evolution. Physical examination: normal external genitalia without alterations, with presence of total vaginal prolapse. Reflex of the sacral plexus S2-S4 (clitoral, perineal and anal) present and normal. Pelvic organ prolapse quantification (POP Q): 0, 0, +2, 3, 4, 5, -1, -1, x. IP: II, Gossling 2. Laparoscopic sacrocolpopexy was performed and type I mesh with monofilament was used to correct vaginal prolapse. At 3 months after the procedure, she denies vaginal bulge symptom in vagina, satisfactory active sexual, denies dyspareunia.  CONCLUSIONS: Laparoscopic sacrocolpopexy with mesh placement is a treatment option with good results in the restoration of the anatomy, sexual function and satisfaction of the patient in a patient with dome prolapse posterior to the neovagina.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Prolapso de cúpula]]></kwd>
<kwd lng="es"><![CDATA[Mayer-Rokitansky-Küster-Hauser]]></kwd>
<kwd lng="es"><![CDATA[prolapso de órganos pélvicos]]></kwd>
<kwd lng="es"><![CDATA[prolapso uterino]]></kwd>
<kwd lng="es"><![CDATA[cuerpo extraño]]></kwd>
<kwd lng="en"><![CDATA[Vaginal vault]]></kwd>
<kwd lng="en"><![CDATA[Mayer-Rokitansky-Küster-Hauser]]></kwd>
<kwd lng="en"><![CDATA[Vaginal vault prolapse]]></kwd>
<kwd lng="en"><![CDATA[Pelvic organ prolapse]]></kwd>
<kwd lng="en"><![CDATA[Uterine prolapse]]></kwd>
<kwd lng="en"><![CDATA[Foreign bodies]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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