<?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>S0300-90412022000300011</article-id>
<article-id pub-id-type="doi">10.24245/gom.v90i3.5674</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Ruptura uterina por placenta percreta en el tercer trimestre del embarazo: reporte de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Uterine rupture by placenta percreta in the third quarter of pregnancy: case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Soni-Trinidad]]></surname>
<given-names><![CDATA[Clementina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rivera-López]]></surname>
<given-names><![CDATA[Maulio Fabio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Soni-Trinidad]]></surname>
<given-names><![CDATA[Benjamín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Cartagena]]></surname>
<given-names><![CDATA[José Ferrer]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Velasco-Cárdenas]]></surname>
<given-names><![CDATA[Daniela Fernanda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Soni-Trinidad]]></surname>
<given-names><![CDATA[Moisés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Regional de Poza Rica  ]]></institution>
<addr-line><![CDATA[Veracruz ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Regional de Poza Rica  ]]></institution>
<addr-line><![CDATA[Veracruz ]]></addr-line>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Veracruzana  ]]></institution>
<addr-line><![CDATA[Veracruz ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad Veracruzana  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad Anahuac  ]]></institution>
<addr-line><![CDATA[Puebla ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2022</year>
</pub-date>
<volume>90</volume>
<numero>3</numero>
<fpage>294</fpage>
<lpage>299</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412022000300011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412022000300011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412022000300011&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  ANTECEDENTES:  La placenta percreta es la forma más rara e invasiva del acretismo placentario: supone el 5% de estos casos y concentra la mayor morbilidad y mortalidad materna y perinatal. Además, es la principal causa de ruptura uterina, por ello su diagnóstico y atención temprana son decisivos. Hoy día, el ultrasonido es la herramienta esencial y de elección para identificar el alto riesgo de acretismo placentario.  CASO CLÍNICO:  Paciente con 32.5 semanas de embarazo, ingresada a Urgencias con signos sugerentes de choque hipovolémico e inconsciente. Se decidió la cesárea de urgencia, con histerectomía abdominal y salpingooferectomía izquierda, por ruptura uterina en torno del cuerno izquierdo, con exposición parcial de la placenta, de aspecto percreta, con salida de vellosidades, laceraciones en el intestino y sangrado de 3500 mL. Nació una niña y se salvó la vida de la madre.  CONCLUSIONES:  La disponibilidad de personal capacitado y experimentado permite la actuación rápida ante estas urgencias médicas. Los bancos de sangre y las unidades de cuidados intensivos son indispensables para ofrecer una atención médica completa y de calidad que responda a las necesidades de la población.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  BACKGROUD:  Placenta percreta is the rarest and most invasive form of accreta placenta spectrum disorders, accounts for 5% of these cases, and concentrates the highest maternal and perinatal morbidity and mortality, in addition to being the main cause of uterine rupture, due to This diagnosis and early attention are decisive. Ultrasound has become the essential and choice tool to identify women at high risk of placental accreta.  CLINICAL CASE:  Patient with a pregnancy of 32.5 weeks of gestation is admitted to the emergency department with suggestive signs of hypovolemic shock and unconscious, an emergency body caesarean section was performed with abdominal hysterectomy and left salpingooferectomy due to uterine rupture at the level of the left horn with partial exposure of placental appearance Percreta with exit of villi, lacerations in intestine and a total bleeding of 3500 mL. Thanks to the appropriate and timely action of the staff, a unique live product of the female sex was obtained and safeguard the life of the mother.  CONCLUSIONS:  The importance of having highly trained staff who act quickly in this kind of medical emergency, in addition to having a blood bank and an intensive care unit makes possible a complete and quality medical care that meets the needs of the population.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Placenta percreta]]></kwd>
<kwd lng="es"><![CDATA[ruptura uterina]]></kwd>
<kwd lng="es"><![CDATA[acretismo placentario]]></kwd>
<kwd lng="en"><![CDATA[Placenta percreta]]></kwd>
<kwd lng="en"><![CDATA[Uterine rupture]]></kwd>
<kwd lng="en"><![CDATA[Placenta accreta]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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<issue>12</issue>
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</article>
