<?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>S0300-90412024001000407</article-id>
<article-id pub-id-type="doi">10.24245/gom.v92i10.9768</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Experiencia en la atención médica del embarazo ectópico abdominal]]></article-title>
<article-title xml:lang="en"><![CDATA[Experience in the medical care of abdominal ectopic pregnancy]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Miranda Flores]]></surname>
<given-names><![CDATA[Alan Francis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional Mayor de San Marcos Instituto Nacional Materno Perinatal Departamento de Ginecología]]></institution>
<addr-line><![CDATA[Lima ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<volume>92</volume>
<numero>10</numero>
<fpage>407</fpage>
<lpage>414</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412024001000407&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412024001000407&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412024001000407&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  OBJETIVO:  Conocer la experiencia en la atención médica de pacientes con embarazo ectópico abdominal.  MATERIALES Y METODÓS:  Estudio descriptivo y retrospectivo llevado a cabo en el Instituto Nacional Materno Perinatal, Lima, Perú en pacientes con diagnóstico de embarazo ectópico abdominal atendidas entre los años 2021 al 2023. Los datos se obtuvieron de las historias clínicas. El análisis estadístico se procesó en el programa SPSS 24.  RESULTADOS:  Se registraron siete casos de pacientes con embarazo ectópico abdominal. La edad promedio de las pacientes fue de 31.3 años. Solo tres pacientes tenían factores de riesgo. El promedio de semanas de gestación fue de nueve. Cinco de las siete pacientes tuvieron dolor abdominal como único síntoma. El diagnóstico preoperatorio se estableció en tres de las siete pacientes. Cuatro pacientes tuvieron hemoperitoneo. El sitio de implantación más frecuente fue el ligamento ancho (en 3 de las 7). El tratamiento fue quirúrgico en todos los casos. Una paciente tuvo hemoperitoneo como complicación posoperatoria, por el sangrado del lecho placentario.  CONCLUSIONES:  El embarazo ectópico abdominal tiene una alta morbilidad y mortalidad materna; en nuestra institución se detectaron siete casos en tres años. El cuadro clínico está condicionado al sitio de implantación, la mayoría tendrá hemoperitoneo y dolor abdominal, por lo que el diagnóstico y tratamiento se establecen, simultáneamente, por vía quirúrgica. El control prenatal es fundamental porque el ultrasonido es suficiente para establecer el diagnóstico y, en casos especiales, la resonancia magnética es de gran utilidad. Si el diagnóstico se establece oportunamente podrá ofrecerse un tratamiento conservador o quirúrgico de acuerdo con las condiciones de la paciente y, de esta manera, disminuir las complicaciones.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  OBJECTIVE:  To know the experience in the medical care of patients with abdominal ectopic pregnancy.  MATERIALS AND METHODS:  Descriptive and retrospective study carried out at the Instituto Nacional Materno Perinatal, Lima, Peru in patients with a diagnosis of abdominal ectopic pregnancy attended between 2021 and 2023. Data were collected from medical records. Statistical analysis was performed using SPSS 24.  RESULTS:  Seven cases of patients with abdominal ectopic pregnancy were included. The mean age of the patients was 31.3 years. Only three patients had any risk factors. The mean gestational age was nine weeks. Five of the seven patients presented with abdominal pain as the only symptom. Preoperative diagnosis was established in three of the seven patients. Four patients had hemoperitoneum. The most common site of implantation was the broad ligament (in 3 of the 7 patients). Treatment was operative in all cases. One patient had hemoperitoneum as a postoperative complication due to bleeding from the placental bed.  CONCLUSIONS:  Abdominal ectopic pregnancy has a high maternal morbidity and mortality; seven cases have been reported in our institution in three years. The clinical picture depends on the site of implantation, most of them have hemoperitoneum and abdominal pain, so the diagnosis and treatment are made simultaneously by surgery. Prenatal control is fundamental because ultrasound is sufficient to establish the diagnosis and, in special cases, magnetic resonance imaging is very useful. If the diagnosis is made in time, conservative or surgical treatment can be offered depending on the patient&amp;apos;s condition, thus reducing complications.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Embarazo abdominal]]></kwd>
<kwd lng="es"><![CDATA[embarazo ectópico]]></kwd>
<kwd lng="es"><![CDATA[estudio retrospectivo]]></kwd>
<kwd lng="es"><![CDATA[Perú]]></kwd>
<kwd lng="es"><![CDATA[factores de riesgo]]></kwd>
<kwd lng="es"><![CDATA[semanas de gestación]]></kwd>
<kwd lng="es"><![CDATA[hemoperitoneo]]></kwd>
<kwd lng="es"><![CDATA[complicación posoperatoria]]></kwd>
<kwd lng="es"><![CDATA[morbilidad y mortalidad materna]]></kwd>
<kwd lng="es"><![CDATA[resonancia magnética]]></kwd>
<kwd lng="en"><![CDATA[Abdominal pregnancy]]></kwd>
<kwd lng="en"><![CDATA[Ectopic pregnancy]]></kwd>
<kwd lng="en"><![CDATA[Retrospective study]]></kwd>
<kwd lng="en"><![CDATA[Peru]]></kwd>
<kwd lng="en"><![CDATA[Risk factors]]></kwd>
<kwd lng="en"><![CDATA[Gestational age]]></kwd>
<kwd lng="en"><![CDATA[Hemoperitoneum]]></kwd>
<kwd lng="en"><![CDATA[Postoperative complication]]></kwd>
<kwd lng="en"><![CDATA[Maternal morbimortality]]></kwd>
<kwd lng="en"><![CDATA[Magnetic resonance imaging]]></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[Chen]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Peng]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Li]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Teng]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Abdominal pregnancy: a case report and review of 17 cases]]></article-title>
<source><![CDATA[Arch Gynecol Obstet]]></source>
<year>2023</year>
<volume>307</volume>
<page-range>263-74</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[Abdullah]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Alsulaiman]]></surname>
<given-names><![CDATA[SS]]></given-names>
</name>
<name>
<surname><![CDATA[Hassan]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Ibrahim]]></surname>
<given-names><![CDATA[HS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Abdominal pregnancy: a case report]]></article-title>
<source><![CDATA[Ann Med Surg (Lond)]]></source>
<year>2023</year>
<volume>85</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>302-5</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[Elías]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Huerta]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Campos del Castillo]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Coronado]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Embarazo ectópico abdominal: Reporte de dos casos]]></article-title>
<source><![CDATA[Rev Peru Ginecol Obstet]]></source>
<year>2021</year>
<volume>67</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gutiérrez]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Alvir]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Campillos]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Garrido]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Embarazo ectópico abdominal. Diagnóstico y tratamiento médico con metotrexato]]></article-title>
<source><![CDATA[Prog Obstet Ginecol]]></source>
<year>2011</year>
<volume>54</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>257-60</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[Herrera]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Niebla]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Torres]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Embarazo ectópico abdominal: protocolo de tratamiento combinado. Reporte de un caso]]></article-title>
<source><![CDATA[Ginecol Obstet Mex]]></source>
<year>2019</year>
<volume>87</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>262-7</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[Rohilla M]]></surname>
<given-names><![CDATA[Joshi B]]></given-names>
</name>
<name>
<surname><![CDATA[Jain V]]></surname>
<given-names><![CDATA[Neetimala]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Advanced abdominal pregnancy: a search for consensus. Review of literature along with case report]]></article-title>
<source><![CDATA[Arch Gynecol Obstet]]></source>
<year>2018</year>
<volume>298</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1-8</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[Shaw]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Hsu]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Chueh]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Han]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Management of primary abdominal pregnancy: twelve years of experience in a medical centre]]></article-title>
<source><![CDATA[Acta Obstet Gynecol Scand]]></source>
<year>2007</year>
<volume>86</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>1058-62</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[Yoder]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Tal]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Martin]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Abdominal ectopic pregnancy after in vitro fertilization and single embryo transfer: a case report and systematic review]]></article-title>
<source><![CDATA[Reprod Biol Endocrinol]]></source>
<year>2016</year>
<volume>14</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>69</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[Huang]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Song]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Wang]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Gao]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Advanced abdominal pregnancy an increasingly challenging clinical concern for obstetricians]]></article-title>
<source><![CDATA[Int J Clin Exp Pathol]]></source>
<year>2014</year>
<volume>7</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>5461-72</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<collab>American College of Obstetricians and Gynecologists (ACOG)</collab>
<article-title xml:lang=""><![CDATA[Practice Bulletin No. 193: Tubal Ectopic Pregnancy]]></article-title>
<source><![CDATA[Obstetrics and Gynecology]]></source>
<year>2018</year>
<volume>131</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tolefac]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Abanda]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Minkande]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Priso]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The challenge in the diagnosis and management of an advanced abdominal pregnancy in a resource-low setting: a case report]]></article-title>
<source><![CDATA[J Med Case Rep]]></source>
<year>2017</year>
<volume>11</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>199</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[Poole]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Haas]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Magann]]></surname>
<given-names><![CDATA[EF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Early abdominal ectopic pregnancies: a systematic review of the literature]]></article-title>
<source><![CDATA[Gynecol Obstet Invest]]></source>
<year>2012</year>
<volume>74</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>249-60</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[Gidiri]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Kanyenze]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Advanced abdominal ectopic pregnancy: lessons from three cases from Zimbabwe and a literature appraisal of diagnostic and management challenges]]></article-title>
<source><![CDATA[Women´s Health (Lond)]]></source>
<year>2015</year>
<numero>3</numero>
<issue>3</issue>
<page-range>275-9</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[Nassali]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Benti]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Bandani]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Musinguzi]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A case report of an asymptomatic late term abdominal pregnancy with a live birth at 41 weeks of gestation]]></article-title>
<source><![CDATA[BMC Res Notes]]></source>
<year>2016</year>
<volume>9</volume>
<page-range>31</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
