<?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>S0300-90412018001000675</article-id>
<article-id pub-id-type="doi">10.24245/gom.v86i10.1623</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Embarazo ectópico abdominal en una paciente histerectomizada]]></article-title>
<article-title xml:lang="en"><![CDATA[Ectopic abdominal pregnancy in a patient hysterectomized]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ruiz-Campo]]></surname>
<given-names><![CDATA[Leyre]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Abad-Rubio]]></surname>
<given-names><![CDATA[Cristina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Aragón]]></surname>
<given-names><![CDATA[Mónica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez-Lalana]]></surname>
<given-names><![CDATA[Eva]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lafalla-Bernad]]></surname>
<given-names><![CDATA[Olivia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez-Ruiz]]></surname>
<given-names><![CDATA[Francisco Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital San Jorge Área del servicio de Obstetricia y Ginecología ]]></institution>
<addr-line><![CDATA[Huesca ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital San Jorge  ]]></institution>
<addr-line><![CDATA[Huesca ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital San Jorge Área del servicio de Radiología ]]></institution>
<addr-line><![CDATA[Huesca ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2018</year>
</pub-date>
<volume>86</volume>
<numero>10</numero>
<fpage>675</fpage>
<lpage>681</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412018001000675&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412018001000675&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412018001000675&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Antecedentes:  El embarazo ectópico abdominal es una alteración obstétrica poco frecuente, sobre todo en pacientes con antecedente de histerectomía. Los síntomas suelen ser inespecíficos y el diagnóstico se retrasa por la baja sospecha clínica, con el subsiguiente aumento en la morbilidad y mortalidad materna.  Caso Clínico:  Paciente de 33 años, con antecedentes ginecoobstétricos de tres cesáreas e histerectomía subtotal posparto por placenta acreta, que acudió al servicio médico por dolor abdominal y sangrado vaginal. En la ecografía se visualizó el saco gestacional con embrión de 12 + 4 semanas y latido cardiaco positivo. Se indicó laparotomía urgente por abdomen agudo y sospecha de embarazo ectópico abdominal; durante el procedimiento se evidenció el saco gestacional de 7 cm, adherido al colon sigmoide y al remanente cervical, con rotura sangrante hacia la cavidad abdominal que englobaba el anejo izquierdo. Se practicó resección del embarazo ectópico y anexectomía izquierda, en colaboración con el servicio de Cirugía general. El posoperatorio transcurrió sin incidentes y la paciente fue dada de alta satisfactoriamente.  Conclusiones:  Es importante incluir el embarazo ectópico en el diagnóstico diferencial de abdomen agudo, incluso en pacientes con antecedente de histerectomía.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background:  Abdominal ectopic pregnancy is a rare condition in obstetrics, especially if there is a history of hysterectomy. Symptoms are usually nonspecific and the diagnosis is often delayed by low clinical suspicion, with consequent increase in maternal morbi-mortality.  Clinical case:  33 year-old patient with 3 previous cesareans and subtotal hysterectomy postpartum for placenta accreta, referred by abdominal pain and vaginal bleeding. In the gynecological ultrasound, a gestational sac was visualized with an embryo according to 12 + 4 weeks, with positive heartbeat. Urgent laparotomy was indicated for acute abdomen and suspicion of abdominal ectopic pregnancy, showing a gestational sac of 7 centimeters adhered to sigma and cervical stump with a bleeding broken zone to abdominal cavity that enclosed left annex, reason why resection of ectopic gestation and left annexectomy was performed in collaboration with General Surgery Service. The postoperative period was without consequences and the patient was satisfactorily discharged.  Conclusions:  It is important to include this entity within the differential diagnosis of acute abdomen women of childbearing age, even if a previous hysterectomy has been performed.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Embarazo ectópico]]></kwd>
<kwd lng="es"><![CDATA[embarazo abdominal]]></kwd>
<kwd lng="es"><![CDATA[histerectomía]]></kwd>
<kwd lng="en"><![CDATA[Ectopicpregnancy]]></kwd>
<kwd lng="en"><![CDATA[Abdominal pregnancy]]></kwd>
<kwd lng="en"><![CDATA[Hysterectomy]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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