<?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>S0300-90412020000500334</article-id>
<article-id pub-id-type="doi">10.24245/gom.v88i5.3704</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Dehiscencia de cistorrafia en pacientes con embolización de arterias uterinas por acretismo placentario: reporte de dos casos]]></article-title>
<article-title xml:lang="en"><![CDATA[Cistorraphy dehiscence in patients with uterine arteries embolization due to placentary acretism: report of two cases]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Espinosa-García]]></surname>
<given-names><![CDATA[Carlos Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez-Colorado]]></surname>
<given-names><![CDATA[Silvia Esther]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramírez-Isarraraz]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gorbea-Chávez]]></surname>
<given-names><![CDATA[Viridiana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Granados-Martínez]]></surname>
<given-names><![CDATA[Verónica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cruz]]></surname>
<given-names><![CDATA[Oliver]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez-Bosch]]></surname>
<given-names><![CDATA[Mario]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Perinatología Isidro Espinosa de los Reyes Clínica de Uroginecología ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Nacional de Perinatología Isidro Espinosa de los Reyes Clínica de Uroginecología ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Nacional de Perinatología Isidro Espinosa de los Reyes Clínica de Uroginecología ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Instituto Nacional de Perinatología Isidro Espinosa de los Reyes Clínica de Uroginecología ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Instituto Nacional de Perinatología Isidro Espinosa de los Reyes Clínica de Uroginecología ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Instituto Nacional de Perinatología Isidro Espinosa de los Reyes Clínica de Uroginecología ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<volume>88</volume>
<numero>5</numero>
<fpage>334</fpage>
<lpage>341</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412020000500334&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412020000500334&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412020000500334&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  ANTECEDENTES: La incidencia de percretismo varía de 5-7% y de ésta, 78% corresponde a complicaciones relacionadas con la cirugía. Hasta la fecha existen pocos casos reportados de dehiscencia de cistorrafia posterior a la embolización de arterias uterinas.  CASOS CLI&#769;NICOS: Caso 1. Paciente de 34 años, con embarazo de 36 semanas y diagnóstico de acretismo placentario. El tratamiento consistió en embolización de arterias uterinas e histerectomía subtotal, con lesión vesical reparada sin complicaciones. Dos semanas después del alta hospitalaria acudió a consulta por pérdida de orina y fiebre (pielonefritis aguda); se estableció el diagnóstico de dehiscencia de cistorrafia por tomografía y cistografía retrógrada. Se realizó cateterización ureteral bilateral, laparotomía exploradora con traquelectomía, resección de los bordes necróticos vesicales y cistorrafia. Caso 2. Paciente de 30 años, con embarazo de 37 semanas y acretismo placentario; se aplicó tratamiento similar al caso 1, del que devino una lesión vesical reparada sin complicaciones. Durante la hospitalización permaneció en vigilancia por hemorragia obstétrica e infección urinaria con mala evolución; dos semanas después tuvo pérdida de orina, por lo que se efectuaron: cistoscopia, tomografía y cistografía retrógrada. Se estableció el diagnóstico de dehiscencia de cistorrafia. Durante la cirugía se localizó el defecto por cistoscopia e histeroscopia, se cateterizaron los uréteres de ambos lados; posteriormente, mediante acceso laparoscópico, se resecaron los bordes vesicales necróticos y se complementó con cistorrafia. Ambas pacientes evolucionaron sin complicaciones.  CONCLUSIO&#769;N: La dehiscencia de cistorrafia en pacientes con embolización de arterias uterinas es una complicación excepcional. La sospecha diagnóstica y el tratamiento oportunos, con resección de los bordes necróticos y cistorrafia, se asocian con mayor tasa de éxito.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  BACKGROUND: The incidence of percretism is 5-7% with 78% of complications associated with surgical management. There are few reported cases of cystorraphy dehiscence after uterine arteries embolization.  CLINICAL CASES: Case 1. A 34 years old patient with a pregnancy of 36 5/7 weeks and acretism; she was treated with uterine artery embolization plus subtotal hysterectomy with bladder injury repaired without complications. She was discharged, and in 2 weeks she consulted for vaginal urine loss and fever (acute pyelonephritis); cystorraphy dehiscence was diagnosed with support of tomography and retrograde cystography. Bilateral ureteral catheterization, laparotomy with trachelectomy plus resection of bladder necrotic edges and cystorraphy were performed. Case 2. A 30 years old patient with a pregnancy of 37 5/7 weeks and acretism; equal treatment of acretism was given with bladder injury repaired without complications. She was hospitalized in surveillance for obstetric haemorrhage and urinary infection with torpid evolution; she referred vaginal urine loss at 2 weeks, so cystoscopy, tomography and retrograde cystography were performed which diagnosed cystorraphy dehiscence. In surgery the bladder defect was located by cystoscopy and hysteroscopy and bilateral ureters were catheterized; subsequently, by laparoscopic approach necrotic bladder edges were resected and cystorraphy was performed. Both patients without complications and with successful postoperative evolution.  CONCLUSION:  Cystorraphy dehiscence in embolized patients is extremely rare; however, it should be considered as a possible complication. Diagnostic suspicion and timely management with resection of necrosis and new cystorraphy, achieve greater success.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Embolización de arterias uterinas]]></kwd>
<kwd lng="es"><![CDATA[histerectomía]]></kwd>
<kwd lng="es"><![CDATA[lesión vesical]]></kwd>
<kwd lng="es"><![CDATA[necrosis]]></kwd>
<kwd lng="es"><![CDATA[cistorrafia]]></kwd>
<kwd lng="es"><![CDATA[cistoscopia]]></kwd>
<kwd lng="es"><![CDATA[tomografía]]></kwd>
<kwd lng="en"><![CDATA[Uterine artery embolization]]></kwd>
<kwd lng="en"><![CDATA[Hysterectomy]]></kwd>
<kwd lng="en"><![CDATA[Bladder injury]]></kwd>
<kwd lng="en"><![CDATA[Necrotic]]></kwd>
<kwd lng="en"><![CDATA[Cystorraphy]]></kwd>
<kwd lng="en"><![CDATA[Cystoscopy]]></kwd>
<kwd lng="en"><![CDATA[Tomography]]></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[Özcan]]></surname>
<given-names><![CDATA[HÇ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Use of bladder filling to prevent urinary system complications in the management of placenta percreta: a randomized prospective study]]></article-title>
<source><![CDATA[Geburtshilfe Frauenheilkd]]></source>
<year>2018</year>
<volume>78</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>173-8</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[Nieto-Calvache]]></surname>
<given-names><![CDATA[AJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Urinary tract injuries during treatment of patients with morbidly adherent placenta]]></article-title>
<source><![CDATA[J Matern Fetal Neonatal Med]]></source>
<year>2019</year>
<page-range>1-7</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[Matsuzaki]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Conservative management of placenta percreta]]></article-title>
<source><![CDATA[Int J Gynaecol Obstet]]></source>
<year>2018</year>
<volume>140</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>299-306</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[Giurazza]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Predelivery uterine arteries embolization in patients affected by placental implant anomalies]]></article-title>
<source><![CDATA[Radiol Med]]></source>
<year>2018</year>
<volume>123</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>71-8</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[Poujade]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Uterine necrosis following pelvic arterial embolization for post-partum hemorrhage: review of the literature]]></article-title>
<source><![CDATA[Eur J Obstet Gynecol Reprod Biol]]></source>
<year>2013</year>
<volume>170</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>309-14</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[Marín-Sánchez]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Conservative management of vesicovaginal fistula after uterine and partial bladder necrosis due o embolization as a treatment for postpartum hemorrhage]]></article-title>
<source><![CDATA[Int Urogynecol J]]></source>
<year>2015</year>
<volume>26</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>773-4</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[Hoffman]]></surname>
<given-names><![CDATA[MS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Morbidity associated with nonemergent hysterectomy for placenta accreta]]></article-title>
<source><![CDATA[Am J Obstet Gynecol]]></source>
<year>2010</year>
<volume>202</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>628.e1-5</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[Mamik]]></surname>
<given-names><![CDATA[MM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Risk factors for lower urinary tract injury at the time of hysterectomy for benign reasons]]></article-title>
<source><![CDATA[Int Urogynecol J]]></source>
<year>2014</year>
<volume>25</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>1031-6</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[Alanwar]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Urinary tract injuries during cesarean section in patients with morbid placental adherence: retrospective cohort study]]></article-title>
<source><![CDATA[J Matern Fetal Neonatal Med]]></source>
<year>2019</year>
<volume>32</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>1461-7</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wu]]></surname>
<given-names><![CDATA[WJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Bladder necrosis associated with placenta accreta, embolization, and repair of cystotomies]]></article-title>
<source><![CDATA[J Endourol Case Rep]]></source>
<year>2015</year>
<volume>1</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>24-6</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[Washington]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Acute bladder necrosis after pelvic arterial embolization for pelvic trauma: lessons learned from two cases of immediate postembolization bladder necrosis]]></article-title>
<source><![CDATA[Case Rep Urol]]></source>
<year>2016</year>
<volume>2016</volume>
<page-range>7594192</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tayade]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Vesicocervical fistula: a rare complication of lower segment caesarean section]]></article-title>
<source><![CDATA[Int J Biomed Res]]></source>
<year>2012</year>
<volume>3</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>221-3</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[El-Azab]]></surname>
<given-names><![CDATA[AS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Update on vesicovaginal fistula: A systematic review]]></article-title>
<source><![CDATA[Arab J Urol]]></source>
<year>2019</year>
<volume>17</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>61-8</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
