<?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>1405-0099</journal-id>
<journal-title><![CDATA[Cirujano general]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. gen]]></abbrev-journal-title>
<issn>1405-0099</issn>
<publisher>
<publisher-name><![CDATA[Asociación Mexicana de Cirugía General A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1405-00992018000100024</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[El cirujano general frente al embarazo heterotópico roto. Presentación de un caso y revisión de la literatura]]></article-title>
<article-title xml:lang="en"><![CDATA[The general surgeon facing a ruptured heterotopic pregnancy. Case presentation and literature review]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández Méndez]]></surname>
<given-names><![CDATA[José Roberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Luna Tovar]]></surname>
<given-names><![CDATA[Agustín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Noriega Usi]]></surname>
<given-names><![CDATA[Víctor Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tueme Izaguirre]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Saucedo Moreno]]></surname>
<given-names><![CDATA[Eric]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valderrama Loyola]]></surname>
<given-names><![CDATA[Omar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Ángeles Mocel  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Ángeles Mocel  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Ángeles Mocel  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Ángeles Mocel  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital Ángeles Mocel  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Hospital Ángeles Mocel Servicio Social ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2018</year>
</pub-date>
<volume>40</volume>
<numero>1</numero>
<fpage>24</fpage>
<lpage>30</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992018000100024&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992018000100024&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992018000100024&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: El embarazo heterotópico tiene una prevalencia baja, aunque en los últimos años -debido a las técnicas de reproducción asistida- se ha incrementado su ocurrencia. La presentación clínica variable de esta patología obliga a considerar sus complicaciones finales; la más frecuente es la ruptura del componente ectópico con inestabilidad hemodinámica, asociada a un alto índice de mortalidad materna y del componente intrauterino. Se reporta el caso de una paciente con antecedente de estimulación ovárica, con embarazo heterotópico provocado con un componente intrauterino gemelar. Antes de la resolución quirúrgica, se le había diagnosticado con apendicitis aguda; se trató con una salpingectomía para el producto extrauterino, sin complicaciones postquirúrgicas, con evolución favorable de la madre y los productos intrauterinos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Heterotopic pregnancy has a low prevalence, but has increased in recent years due to assisted reproduction techniques. Clinical symptoms can be wide, so physicians must have in mind the complications, the most frequent of which is the rupture of the ectopic component ,which leads to hemodynamic instability with a high rate of fetal and maternal mortality. We report the case of a patient previously treated with ovarian stimulation, diagnosed with heterotopic pregnancy with a twin intrauterine component; she had been diagnosed with acute appendicitis previous to the surgical resolution, and was treated with salpingectomy for the extrauterine product, without postsurgical complications and a good outcome for both the intrauterine product and the mother.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Embarazo heterotópico]]></kwd>
<kwd lng="es"><![CDATA[embarazo ectópico]]></kwd>
<kwd lng="es"><![CDATA[abdomen agudo]]></kwd>
<kwd lng="en"><![CDATA[Heterotopic pregnancy]]></kwd>
<kwd lng="en"><![CDATA[ectopic pregnancy]]></kwd>
<kwd lng="en"><![CDATA[acute abdomen]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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