<?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>S0300-90412021000800008</article-id>
<article-id pub-id-type="doi">10.24245/gom.v89i8.5240</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Placenta acreta postembolización de las arterias uterinas. Reporte de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Placenta accreta post uterine artery embolization. Case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guarga-Montori]]></surname>
<given-names><![CDATA[María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Álvarez-Martínez]]></surname>
<given-names><![CDATA[Alicia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Herrero-Barrios]]></surname>
<given-names><![CDATA[Silvia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Marzo-Lorente]]></surname>
<given-names><![CDATA[Mariana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ruiz-Martínez]]></surname>
<given-names><![CDATA[Sara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rojas Pérez-Ezquerra]]></surname>
<given-names><![CDATA[Beatriz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Clínico Universitario Lozano Blesa Departamento de Obstetricia ]]></institution>
<addr-line><![CDATA[Zaragoza ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Aragon Institute of Health Research  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<volume>89</volume>
<numero>8</numero>
<fpage>641</fpage>
<lpage>646</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412021000800008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412021000800008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412021000800008&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  ANTECEDENTES:  La embolización de las arterias uterinas es una herramienta terapéutica efectiva y mínimamente invasiva para tratar pacientes con miomas sintomáticos; sin embargo, su utilidad en pacientes con deseo de embarazo es motivo de controversia.  OBJETIVO:  Analizar la utilidad de la embolización de las arterias uterinas en pacientes con deseo de embarazo, con diagnóstico de mioma uterino sintomático.  CASO CLÍNICO:  Paciente de 37 años con mioma tratado mediante la embolización de las arterias uterinas en 2018; quedó embarazada espontáneamente dos años después de la intervención. El embarazo trascurrió con diagnóstico de placenta previa y crecimiento intrauterino restringido. Durante la cesárea, indicada por sangrado en el tercer trimestre, se encontró acretismo placentario, causa de la atonía uterina que requirió histerectomía puerperal.  CONCLUSIONES:  Si bien el embarazo posterior a la embolización de las arterias uterinas es posible, la miomectomía es la técnica de elección para el tratamiento de miomas sintomáticos en mujeres con deseo de embarazo. La bibliografía sugiere que los embarazos postembolización de las arterias uterinas pueden complicarse con acretismo, aumento de sangrado o en la tasa de cesáreas, pero los análisis son heterogéneos. Las pacientes deben ser debidamente informadas y los obstetras considerar estas complicaciones en el seguimiento del embarazo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  BACKGROUND:  Uterine artery embolization is an effective and minimally invasive therapeutic tool to treat patients with symptomatic myomas; however, its usefulness in patients with desire for pregnancy is controversial.  OBJECTIVE:  To analyze the usefulness of uterine artery embolization in patients with desire for pregnancy, diagnosed with symptomatic uterine myoma.  CLINICAL CASE:  37-year-old patient with myoma treated by uterine artery embolization in 2018; she became pregnant spontaneously two years after the intervention. Pregnancy elapsed with diagnosis of placenta previa and restricted intrauterine growth. During the cesarean section, indicated by bleeding in the third trimester, placental accretism was found, cause of uterine atony that required puerperal hysterectomy.  CONCLUSIONS:  Although pregnancy following uterine artery embolization is possible, myomectomy is the technique of choice for the treatment of symptomatic myomas in women who desire pregnancy. The literature suggests that pregnancies following uterine artery embolization may be complicated by accreta, increased bleeding or cesarean section rate, but the analyses are heterogeneous. Patients should be adequately informed, and obstetricians should consider these complications in pregnancy follow-up.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Embolización de arterias uterinas]]></kwd>
<kwd lng="es"><![CDATA[miomas]]></kwd>
<kwd lng="es"><![CDATA[tercer trimestre del embarazo]]></kwd>
<kwd lng="es"><![CDATA[mioma uterino]]></kwd>
<kwd lng="es"><![CDATA[placenta previa]]></kwd>
<kwd lng="es"><![CDATA[cesárea]]></kwd>
<kwd lng="en"><![CDATA[Uterine artery embolization]]></kwd>
<kwd lng="en"><![CDATA[Myomas]]></kwd>
<kwd lng="en"><![CDATA[Pregnancy trimester, third]]></kwd>
<kwd lng="en"><![CDATA[Uterine myoma]]></kwd>
<kwd lng="en"><![CDATA[Placenta previa]]></kwd>
<kwd lng="en"><![CDATA[Cesarean section]]></kwd>
</kwd-group>
</article-meta>
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