<?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>0034-7523</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina]]></journal-title>
<abbrev-journal-title><![CDATA[Rev cubana med]]></abbrev-journal-title>
<issn>0034-7523</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-75232021000200020</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Acretismo placentario con compromiso vesical en altura]]></article-title>
<article-title xml:lang="en"><![CDATA[Placental accreta with bladder involvement in height]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valencia Chugnas]]></surname>
<given-names><![CDATA[Sandra Paola]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Collantes Cubas]]></surname>
<given-names><![CDATA[Jorge Arturo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bardales Zuta]]></surname>
<given-names><![CDATA[Víctor Hugo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Privada Antenor Orrego Facultad de Medicina Humana ]]></institution>
<addr-line><![CDATA[Trujillo La Libertad]]></addr-line>
<country>Peru</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Regional Docente de Cajamarca  ]]></institution>
<addr-line><![CDATA[Cajamarca ]]></addr-line>
<country>Perú</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<volume>60</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-75232021000200020&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-75232021000200020&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-75232021000200020&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  El acretismo placentario es una complicación obstétrica compleja. Según el grado de profundidad se clasifica en placenta acreta, increta y percreta, siendo esta última una presentación rara.  Objetivo:  Reportar la evolución clínica quirúrgica de una paciente con diagnóstico de acretismo placentario (placenta percreta) con compromiso vesical.  Caso clínico:  Paciente segundigesta de 28 años, con antecedente de una cesárea anterior hace aproximadamente 4 años, ingresa por consultorio externo debido a estudio ecográfico sugestivo de probable acretismo placentario con invasión vesical realizada en el tercer trimestre, motivo por el cual es hospitalizada para un mejor estudio y tratamiento. Sometida a cirugía por equipo multidisciplinario, a cesárea-histerectomía modificada, con resección parcial de vejiga y ligadura de hipogástricas, con corta estancia en Unidad de Cuidados Intensivos y hospitalización sin complicaciones urológicas posteriores.  Conclusiones:  La detección temprana permite una planificación preoperatoria adecuada con equipo multidisciplinario especializado, considerando la participación temprana del urólogo en la toma de decisiones.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Placental accreta is a complex obstetric complication. According to the degree of depth, it is classified into placenta accreta, increta and percreta, the latter being a rare presentation.  Objective:  To report the surgical clinical evolution of a patient with a diagnosis of placental accreta (placenta percreta) with bladder involvement.  Clinical case report:  A 28-year-old second-pregnant patient, with a history of a previous cesarean section approximately 4 years ago, was admitted to an outpatient clinic due to a probable placental accreta with bladder invasion performed in the third trimester which was suggestive in ultrasound study. She was hospitalized for better study and treatment and she underwent surgery by a multidisciplinary team. A modified cesarean section-hysterectomy, with partial bladder resection and hypogastric ligation, with a short stay in the Intensive Care Unit and hospitalization without subsequent urological complications.  Conclusions:  Early detection allows adequate preoperative planning with a specialized multidisciplinary team, considering the early participation of the urologist in decision-making.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[placenta acreta]]></kwd>
<kwd lng="es"><![CDATA[mortalidad materna]]></kwd>
<kwd lng="es"><![CDATA[manejo multidisciplinario]]></kwd>
<kwd lng="en"><![CDATA[placenta accreta]]></kwd>
<kwd lng="en"><![CDATA[maternal mortality]]></kwd>
<kwd lng="en"><![CDATA[multidisciplinary management]]></kwd>
</kwd-group>
</article-meta>
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