<?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>S0300-90412021000300010</article-id>
<article-id pub-id-type="doi">10.24245/gom.v89i3.4550</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Hemangioma hepático gigante en una mujer embarazada. Reporte de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Giant hepatic hemangioma in a pregnant woman. Case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gallardo-Gómez]]></surname>
<given-names><![CDATA[Fabiola]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Cruz]]></surname>
<given-names><![CDATA[Rosa Gabriela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Miranda-Araujo]]></surname>
<given-names><![CDATA[Osvaldo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez-Bosch]]></surname>
<given-names><![CDATA[Mario Roberto]]></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  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Nacional de Perinatología Isidro Espinosa de los Reyes  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Nacional de Perinatología Isidro Espinosa de los Reyes  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<volume>89</volume>
<numero>3</numero>
<fpage>262</fpage>
<lpage>266</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412021000300010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412021000300010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412021000300010&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  ANTECEDENTES:  Los hemangiomas hepáticos son malformaciones vasculares y los tumores benignos más comunes; su diagnóstico es fortuito a partir de estudios de imagen, clínicamente son asintomáticos. Durante el embarazo no representan riesgo; sin embargo, cuando se trata de tumoraciones mayores tienen más riesgo de ruptura y sangrado por lo que debe evaluarse su intervención quirúrgica.  CASO CLÍNICO:  Paciente de 36 años, multípara, ingresó a control prenatal con embarazo de 21 semanas y hepatomegalia 3 centímetros por debajo del reborde costal derecho, asintomática. Los estudios de imagen reportaron: hígado con hemangiomas, el mayor de 10 x 7 x 8 cm; con base en la resonancia magnética se diagnosticó: hemangiomas hepáticos gigantes.  CONCLUSIONES:  El diagnóstico oportuno, la identificación de los factores de riesgo, el tratamiento multidisciplinario y el apoyo de los estudios de gabinete permitieron el diagnóstico y la culminación del embarazo a término, mediante cesárea.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  BACKGROUND:  The liver hemangiomas are vascular malformations and the most common benign tumors, the diagnosis is incidental from imaging studies, clinically they are asymptomatic. During pregnancy they do not represent a risk, however, with larger tumors, they have a greater risk of rupture and bleeding, so surgical intervention should be evaluated if they present them.  CLINICAL CASE:  A 36-year-old multiparous patient was admitted to prenatal care with a 21-week pregnancy and hepatomegaly 3 centimeters below the right costal ridge, asymptomatic patient. Imaging studies reported liver with hemangiomas, the largest measuring 10 x 7 x 8 cm; based on magnetic resonance imaging it was diagnosed as giant hepatic hemangiomas.  CONCLUSION:  Timely diagnosis, identification of risk factors, multidisciplinary treatment, and the support of laboratory studies allowed the diagnosis and completion of the pregnancy at term, by cesarean section.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Hemangioma hepático]]></kwd>
<kwd lng="es"><![CDATA[malformaciones vasculares]]></kwd>
<kwd lng="es"><![CDATA[embarazo]]></kwd>
<kwd lng="es"><![CDATA[hepatomegalia]]></kwd>
<kwd lng="es"><![CDATA[hemangiomas]]></kwd>
<kwd lng="es"><![CDATA[cesárea]]></kwd>
<kwd lng="es"><![CDATA[neoplasias hepáticas]]></kwd>
<kwd lng="en"><![CDATA[Liver hemangiomas]]></kwd>
<kwd lng="en"><![CDATA[Vascular malformations]]></kwd>
<kwd lng="en"><![CDATA[Pregnancy]]></kwd>
<kwd lng="en"><![CDATA[Hepatomegaly]]></kwd>
<kwd lng="en"><![CDATA[Hemangiomas]]></kwd>
<kwd lng="en"><![CDATA[Cesarean section]]></kwd>
<kwd lng="en"><![CDATA[Liver Neoplasms]]></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[Yeh]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Bruckner]]></surname>
<given-names><![CDATA[AL]]></given-names>
</name>
<name>
<surname><![CDATA[Sanchez]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Jeng]]></surname>
<given-names><![CDATA[MR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Diffuse infantile hepatic hemangiomas: A report of four cases successfully managed with medical therapy]]></article-title>
<source><![CDATA[Pediatric Dermatology]]></source>
<year>2011</year>
<volume>28</volume>
<page-range>267-75</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[Tran]]></surname>
<given-names><![CDATA[TT]]></given-names>
</name>
<name>
<surname><![CDATA[Ahn]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Reau]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[ACG Clinical Guideline: Liver Disease and Pregnancy]]></article-title>
<source><![CDATA[Am J Gastroenterol]]></source>
<year>2016</year>
<volume>111</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>176-94</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[Schnelldorfer]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Ware]]></surname>
<given-names><![CDATA[AL]]></given-names>
</name>
<name>
<surname><![CDATA[Smoot]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Schleck]]></surname>
<given-names><![CDATA[CD]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Management of giant hemangioma of the liver: resection versus observation]]></article-title>
<source><![CDATA[J Amer Col Surg]]></source>
<year>2010</year>
<volume>211</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>724-30</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[Lerner]]></surname>
<given-names><![CDATA[SM]]></given-names>
</name>
<name>
<surname><![CDATA[Hiatt]]></surname>
<given-names><![CDATA[JR]]></given-names>
</name>
<name>
<surname><![CDATA[Salamandra]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Chen]]></surname>
<given-names><![CDATA[PW]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Giant cavernous liver hemangiomas: effect of operative approach on outcome]]></article-title>
<source><![CDATA[Arch Surg]]></source>
<year>2004</year>
<volume>139</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>818-21</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[Duxbury]]></surname>
<given-names><![CDATA[MS]]></given-names>
</name>
<name>
<surname><![CDATA[Garden]]></surname>
<given-names><![CDATA[OJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Giant haemangioma of the Liver: Observation or Resection?]]></article-title>
<source><![CDATA[Digestive Surgery]]></source>
<year>2010</year>
<volume>27</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>7-11</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[Nichols]]></surname>
<given-names><![CDATA[FC]]></given-names>
</name>
<name>
<surname><![CDATA[van Heerden]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Weiland]]></surname>
<given-names><![CDATA[LH]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Benign liver tumors]]></article-title>
<source><![CDATA[Surg Clin North Am]]></source>
<year>1989</year>
<volume>69</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>297-314</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[Marrero]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Ahn]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Reddy]]></surname>
<given-names><![CDATA[RK]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[ACG Clinical Guideline: The diagnosis and management of focal liver lesions]]></article-title>
<source><![CDATA[Am J Gastroenterol]]></source>
<year>2014</year>
<volume>109</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>1328-47</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[Pencovich]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Younis]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Lessing]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Zac]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Major liver resection in pregnancy: three cases with different etiologies and review of the literature]]></article-title>
<source><![CDATA[The Journal of Maternal Fetal Neonatal Medicine]]></source>
<year>2019</year>
<volume>32</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>203-11</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[Di Carlo]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Giant cavernous liver hemangiomas: is it the time to change the size categories?]]></article-title>
<source><![CDATA[Hepatobiliary Pancreat Dis Int]]></source>
<year>2016</year>
<volume>15</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>21-9</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[Glinkova]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Shevah]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Boaz]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Shirin]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hepatic haemangiomas: possible association with female sex hormones]]></article-title>
<source><![CDATA[Gut]]></source>
<year>2004</year>
<volume>53</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>1352-5</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[Reddy]]></surname>
<given-names><![CDATA[KR]]></given-names>
</name>
<name>
<surname><![CDATA[Kligerman]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Levi]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Benign and solid tumors of the liver: relationship to sex, age, size of tumors, and outcome]]></article-title>
<source><![CDATA[Am Surg]]></source>
<year>2001</year>
<volume>67</volume>
<page-range>173-8</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[Yoon]]></surname>
<given-names><![CDATA[SS]]></given-names>
</name>
<name>
<surname><![CDATA[Charny]]></surname>
<given-names><![CDATA[CK]]></given-names>
</name>
<name>
<surname><![CDATA[Fong]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Jarnagin]]></surname>
<given-names><![CDATA[WR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Diagnosis, management, and Outcomes of 115 Patients with Hepatic Hemangioma]]></article-title>
<source><![CDATA[American College of Sur]]></source>
<year>2003</year>
<volume>197</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cobey]]></surname>
<given-names><![CDATA[FC]]></given-names>
</name>
<name>
<surname><![CDATA[Salem]]></surname>
<given-names><![CDATA[RR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A review of liver masses in pregnancy and a proposed algorithm for their diagnosis and management]]></article-title>
<source><![CDATA[Am J Surg]]></source>
<year>2004</year>
<volume>187</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>181-91</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hall]]></surname>
<given-names><![CDATA[GW]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Kasabach-Merritt syndrome: pathogenesis and management]]></article-title>
<source><![CDATA[Br J Haematol]]></source>
<year>2001</year>
<volume>112</volume>
<page-range>851-62</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Güngör]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Aytan]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Topisiz]]></surname>
<given-names><![CDATA[OL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[An unusual case of incidental rupture of liver hemangioma during labor]]></article-title>
<source><![CDATA[Chin Med J (Engl)]]></source>
<year>2004</year>
<volume>117</volume>
<page-range>311-3</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
