<?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>1870-7203</journal-id>
<journal-title><![CDATA[Acta médica Grupo Ángeles]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. Grupo Ángeles]]></abbrev-journal-title>
<issn>1870-7203</issn>
<publisher>
<publisher-name><![CDATA[Grupo Ángeles, Servicios de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1870-72032019000100061</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Embarazo heterotópico]]></article-title>
<article-title xml:lang="en"><![CDATA[Heterotopic pregnancy]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Delgado Delgado]]></surname>
<given-names><![CDATA[Armando Elías]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Delgado Kalisch]]></surname>
<given-names><![CDATA[Armando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General de Chihuahua  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Ángeles Chihuahua  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2019</year>
</pub-date>
<volume>17</volume>
<numero>1</numero>
<fpage>61</fpage>
<lpage>63</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1870-72032019000100061&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1870-72032019000100061&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1870-72032019000100061&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  El embarazo ectópico es cada vez más frecuente en el medio, secundario al estilo de vida y los antecedentes ginecológicos de las mujeres (infecciones, cirugías). El embarazo heterotópico ha ido en aumento secundario a las técnicas de reproducción asistida.  Caso clínico:  Femenino de 38 años de edad, gesta 1, amenorrea de 7.4 semanas (fecha confiable); con diagnóstico de esclerosis múltiple con 15 años de evolución, en tratamiento con interferón, suspendido al diagnóstico del embarazo. Inició con dolor súbito de gran intensidad en el hipocondrio derecho, rebote positivo en la exploración abdominal, sin sangrado transvaginal. Se realizó un ultrasonido endovaginal, que reportó un embarazo intrauterino y uno segundo extrauterino, con abundante líquido libre en la cavidad.  Conclusión:  El embarazo heterotópico es una patología que pone en riesgo la vida de la mujer, de no ser diagnosticada y tratada a tiempo. Los embarazos heterotópicos tienen una gran probabilidad de pérdida de ambos productos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  Ectopic pregnancy continues to be frequent among women due to lifestyle modifications and previous medical history (infections, surgery). Heterotopic pregnancy has been rising in diagnosis as a consequence of assisted reproduction techniques.  Case report:  38-year-old female in her first pregnancy of 7.4 weeks according to her last menstrual period; she had been diagnosed with multiple sclerosis 15 years prior and had been on treatment with interferon, which she suspended as pregnancy was diagnosed. Symptoms initiated with sudden pain located in the right upper quadrant and irritative symptoms, no vaginal losses. A transvaginal ultrasound reported an intrauterine pregnancy and a second extrauterine pregnancy, with abundant free liquid in the cavity.  Conclusion:  Heterotopic pregnancy is a pathology that puts women&#8217;s life at risk if not diagnosed and treated on time. Heterotopic pregnancies carry a risk of losing both extrauterine and intrauterine pregnancies.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Embarazo heterotópico]]></kwd>
<kwd lng="es"><![CDATA[embarazo ectópico]]></kwd>
<kwd lng="es"><![CDATA[esclerosis múltiple]]></kwd>
<kwd lng="en"><![CDATA[Heterotopic pregnancy]]></kwd>
<kwd lng="en"><![CDATA[ectopic pregnancy]]></kwd>
<kwd lng="en"><![CDATA[multiple sclerosis]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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