<?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>S0300-90412022000600520</article-id>
<article-id pub-id-type="doi">10.24245/gom.v90i6.7032</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Colecistitis aguda durante el segundo trimestre del embarazo: reporte de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Acute cholecystitis during the second trimester of pregnancy: A case report.]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ibarra-Rovirosa]]></surname>
<given-names><![CDATA[Esther Alejandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Hernández]]></surname>
<given-names><![CDATA[Gabriel Gerardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Flores-Mendoza]]></surname>
<given-names><![CDATA[Jorge Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva-Hernández]]></surname>
<given-names><![CDATA[Rubén Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Hernández]]></surname>
<given-names><![CDATA[Clara Magdalena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez-Alcázar]]></surname>
<given-names><![CDATA[Keydi Viridiana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Regional de Alta Especialidad de la Mujer  ]]></institution>
<addr-line><![CDATA[Villahermosa Tabasco]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Regional de Alta Especialidad de la Mujer  ]]></institution>
<addr-line><![CDATA[Villahermosa Tabasco]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Regional de Alta Especialidad de la Mujer  ]]></institution>
<addr-line><![CDATA[Villahermosa Tabasco]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Regional de Alta Especialidad de la Mujer  ]]></institution>
<addr-line><![CDATA[Villahermosa Tabasco]]></addr-line>
<country>México</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital Regional de Alta Especialidad de la Mujer  ]]></institution>
<addr-line><![CDATA[Villahermosa Tabasco]]></addr-line>
<country>México</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>6</numero>
<fpage>520</fpage>
<lpage>524</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412022000600520&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412022000600520&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412022000600520&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  ANTECEDENTES: La colecistitis aguda es la segunda causa más frecuente de urgencia quirúrgica no obstétrica, con una incidencia de 1 caso por cada 1600 a 10,000 embarazos.  OBJETIVO: Reportar el caso de una paciente con colecistitis aguda durante el segundo trimestre del embarazo tratada mediante cirugía laparoscópica.  CASO CLÍNICO:  Paciente de 34 años, con 16.5 semanas de embarazo. Acudió a consulta debido a un dolor abdominal de tipo cólico en el hipocondrio derecho. A la exploración física se encontraron: abdomen blando, depresible, dolor a la palpación en el flanco e hipocondrio derechos, signo de Murphy negativo, sin datos de irritación peritoneal; no se palparon plastrones; el útero se encontraba arriba de la sínfisis del pubis. El ultrasonido abdominal mostró la vesícula debidamente delimitada, con bordes regulares y definidos, con pared delgada y múltiples cálculos en su interior. No se evidenció leucocitosis. Los reportes de la laparoscopia fueron: vesícula con paredes a tensión, el conducto cístico corto, dilatado, con un cálculo retenido. No se informaron complicaciones. La paciente fue dada de alta a las 48 horas del posoperatorio. Continuó en control prenatal y finalizó el embarazo por cesárea. El desenlace neonatal fue satisfactorio.  CONCLUSIONES: La colecistitis es una de las principales alteraciones durante el embarazo. Postergar la cirugía supone consecuencias para la madre y el feto, por lo que debe establecerse el diagnóstico y tratamiento oportunos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  BACKGROUND: Bile duct pathologies, specifically acute cholecystitis, is the second most common cause of non-obstetric surgical emergency, with an incidence of 1 in 1,600 to 10,000 pregnancies.  OBJECTIVE:  Report of a case of a patient with acute cholecystitis during the second trimester of pregnancy treated by laparoscopic surgery.  CLINICAL CASE: 34-year-old female, pregnancy 3, childbirth 2; with pregnancy of 16.5 weeks. She presented colicky abdominal pain located in the right upper quadrant. Physical examination revealed abdomen with normoaudible peristalsis, soft, depressible, pain on medium and deep palpation in the right hypochondrium, murphy sign (-), no evidence of peritoneal irritation, no plastrons palpated, uterus above symphysis of the pubis. Abdominal ultrasound reports a well-defined vesicle with regular and well-defined borders, with a thin wall, with the presence of multiple stones in its interior. There was no presence of leukocytosis. Laparoscopic surgical management was decided, during which a gallbladder with tension walls, a short, dilated cystic duct, with an impacted stone was found. No complications were reported. She continued her prenatal care in our hospital unit and the pregnancy was resolved by cesarean section. Neonatal outcomes were optimal.  CONCLUSIONS: Cholecystitis is one of the main non-obstetric surgical pathologies that occur in pregnancy, it is important to consider that the fact of postponing surgery could have consequences for both the mother and the fetus, so the timely diagnosis and management of this type of pathology must be carried out.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Colecistitis]]></kwd>
<kwd lng="es"><![CDATA[embarazo]]></kwd>
<kwd lng="es"><![CDATA[cesárea]]></kwd>
<kwd lng="es"><![CDATA[laparoscopia]]></kwd>
<kwd lng="es"><![CDATA[control prenatal]]></kwd>
<kwd lng="en"><![CDATA[Cholecystitis]]></kwd>
<kwd lng="en"><![CDATA[Pregnancy]]></kwd>
<kwd lng="en"><![CDATA[Laparoscopy]]></kwd>
<kwd lng="en"><![CDATA[Cesarean section]]></kwd>
<kwd lng="en"><![CDATA[Prenatal care]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bouyou]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Gaujoux]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Marcellin]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Leconte]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Abdominal emergencies during pregnancy]]></article-title>
<source><![CDATA[J Visc Surg]]></source>
<year>2015</year>
<volume>152</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>S105-15</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Weiner]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Mizrachi]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Keidar]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Kerner]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Laparoscopic surgery performed in advanced pregnancy compared to early pregnancy]]></article-title>
<source><![CDATA[Arch Gynecol Obstet]]></source>
<year>2015</year>
<volume>292</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>1063-8</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Shigemi]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Aso]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Matsui]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Fushimi]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Safety of Laparoscopic Surgery for Benign Diseases during Pregnancy: A Nationwide Retrospective Cohort Study]]></article-title>
<source><![CDATA[J Minim Invasive Gynecol]]></source>
<year>2019</year>
<volume>26</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>501-6</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Capella]]></surname>
<given-names><![CDATA[CE]]></given-names>
</name>
<name>
<surname><![CDATA[Godovchik]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Chandrasekar]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Al-Kouatly]]></surname>
<given-names><![CDATA[HB.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Nonobstetrical Robotic-Assisted Laparoscopic Surgery in Pregnancy: A Systematic Literature Review]]></article-title>
<source><![CDATA[Urology]]></source>
<year>2021</year>
<volume>151</volume>
<page-range>58-66</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Selzer]]></surname>
<given-names><![CDATA[DJ]]></given-names>
</name>
<name>
<surname><![CDATA[Stefanidis]]></surname>
<given-names><![CDATA[D.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Surgical Emergencies in the Pregnant Patient]]></article-title>
<source><![CDATA[Adv Surg]]></source>
<year>2019</year>
<volume>53</volume>
<page-range>161-77</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Barut]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Gönülta&#351;]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Gök]]></surname>
<given-names><![CDATA[AFK]]></given-names>
</name>
<name>
<surname><![CDATA[&#350;ahin]]></surname>
<given-names><![CDATA[TT.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Management of acute cholecystitis during pregnancy: A single-center experience]]></article-title>
<source><![CDATA[Ulus Travma Acil Cerrahi Derg]]></source>
<year>2019</year>
<volume>25</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>154-8</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Qiu]]></surname>
<given-names><![CDATA[SY]]></given-names>
</name>
<name>
<surname><![CDATA[Ng]]></surname>
<given-names><![CDATA[KK]]></given-names>
</name>
<name>
<surname><![CDATA[Cheung]]></surname>
<given-names><![CDATA[TT]]></given-names>
</name>
<name>
<surname><![CDATA[Liu]]></surname>
<given-names><![CDATA[CH]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A successful combined laparoscopic cholecystectomy and laparoscopic exploration of common bile duct for acute gangrenous cholecystitis and choledocholithiasis during pregnancy: A case report]]></article-title>
<source><![CDATA[Int J Surg Case Rep]]></source>
<year>2019</year>
<volume>58</volume>
<page-range>14-7</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nasioudis]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Tsilimigras]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Economopoulos]]></surname>
<given-names><![CDATA[KP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Laparoscopic cholecystectomy during pregnancy: A systematic review of 590 patients]]></article-title>
<source><![CDATA[Int J Surg]]></source>
<year>2016</year>
<volume>27</volume>
<page-range>165-75</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[SH]]></given-names>
</name>
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[JY]]></given-names>
</name>
<name>
<surname><![CDATA[Choi]]></surname>
<given-names><![CDATA[YY]]></given-names>
</name>
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[JG.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Laparoscopic appendectomy versus open appendectomy for suspected appendicitis during pregnancy: A systematic review and updated meta-analysis]]></article-title>
<source><![CDATA[BMC Surg]]></source>
<year>2019</year>
<volume>19</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>41</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<collab>ACOG</collab>
<article-title xml:lang=""><![CDATA[Committee Opinion No. 696: Nonobstetric Surgery During Pregnancy]]></article-title>
<source><![CDATA[Obstet Gynecol]]></source>
<year>2017</year>
<volume>129</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>777-8</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kwon]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Park]]></surname>
<given-names><![CDATA[HS]]></given-names>
</name>
<name>
<surname><![CDATA[Yoon]]></surname>
<given-names><![CDATA[SH]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Laparoscopic management is feasible for nonobstetric surgical disease in all trimesters of pregnancy]]></article-title>
<source><![CDATA[Surg Endosc]]></source>
<year>2018</year>
<volume>32</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>2643-9</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
