<?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>1028-9933</journal-id>
<journal-title><![CDATA[Revista Información Científica]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. inf. cient.]]></abbrev-journal-title>
<issn>1028-9933</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas Guantánamo]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1028-99332019000400540</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Embarazo ectópico abdominal. Presentación de un caso y revisión de la literatura]]></article-title>
<article-title xml:lang="en"><![CDATA[Abdominal ectopic pregnancy. Case report and literature review]]></article-title>
<article-title xml:lang="pt"><![CDATA[Gravidez ectópica abdominal. Apresentação de caso e revisão de literatura]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Drullet Duran]]></surname>
<given-names><![CDATA[Licet]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández Carcasses]]></surname>
<given-names><![CDATA[María Elena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Iznaga Brooks]]></surname>
<given-names><![CDATA[Odalis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Docente &#8220;Dr. Agostinho Neto&#8221;  ]]></institution>
<addr-line><![CDATA[ Guantánamo]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Pediátrico Provincial &#8220;Eduardo Agramonte Piña&#8221;  ]]></institution>
<addr-line><![CDATA[ Camagüey]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Policlínico Universitario ¨Santiago Rafael Echezarreta Mulkay¨  ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2019</year>
</pub-date>
<volume>98</volume>
<numero>4</numero>
<fpage>540</fpage>
<lpage>552</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1028-99332019000400540&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1028-99332019000400540&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1028-99332019000400540&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  el embarazo ectópico es una de las afecciones que más incrementan la morbilidad y la mortalidad maternas. La incidencia varía de 1:40 a 1:100 embarazos. Se caracteriza por la implantación del embrión dentro de la cavidad peritoneal, por fuera de la trompa de Falopio, el ovario y el ligamento ancho del útero.  Objetivo:  familiarizar a los médicos generales timorenses con las características clínicas, la etiopatogenia y el diagnóstico y el manejo de esta condición obstétrica.  Método:  se presentó un caso clínico de embarazo ectópico abdominal atendido por un equipo multidisciplinarios de profesionales cubanos colaboradores en el Hospital Referal Maubisse (República Democrática de Timor Leste). Se revisó la literatura sobre el tema en bases de datos electrónicas (SciELO, ClinicalKey, RedALyC, Scopus, PubMed, Clinical Evidence, Cochrane). Se realizó una selección por título y resumen por los tres autores, en caso de encontrar una diferencia se sometió a un cuarto evaluador.  Resultados:  el examen clínico y la ultrasonografía abdominal posibilitaron el diagnóstico de embarazo ectópico abdominal con feto muerto. Se realizó laparotomía y se encontró un feto de 17 semanas en estado de momificación y maceración aséptica, ubicado en el fondo de saco de Douglas. Fue posible la extracción completa del tejido placentario sin complicaciones transoperatorias y evolución satisfactoria.  Conclusiones:  el cuadro clínico es inespecífico y aunque se reconoce el valor diagnóstico de la ecografía abdominal, al no existir signos específicos y ante la ausencia de imágenes ultrasonográficas características, se hace indispensable una laparotomía exploradora.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Ectopic pregnancy is one of the conditions that most increase maternal morbidity and mortality. The incidence varies from 1:40 to 1: 100 pregnancies. It is characterized by implantation of the embryo into the peritoneal cavity, outside the fallopian tube, the ovary and the broad ligament of the uterus.  Objective:  to familiarize Timorese general practitioners with the clinical characteristics, etiopathogenesis and diagnosis and management of this obstetric condition.  Method:  A clinical case of abdominal ectopic pregnancy was presented attended by a multidisciplinary team of Cuban professionals collaborating at the Hospital Referal Maubisse (Democratic Republic of Timor Leste). Literature on the subject was reviewed in electronic databases (SciELO, ClinicalKey, RedALyC, Scopus, PubMed, Clinical Evidence, Cochrane). A selection was made by title and summary by the three authors, in case of finding a difference it was submitted to a fourth evaluator.  Results:  the clinical examination and abdominal ultrasonography made it possible to diagnose abdominal ectopic pregnancy with dead fetus. Laparotomy was performed and a 17-week fetus was found in a state of mummification and aseptic maceration, located at the bottom of Douglas's sac. It was possible the complete extraction of the placental tissue without transoperative complications and satisfactory evolution.  Conclusions:  the clinical picture is nonspecific and although the diagnostic value of abdominal ultrasound is recognized, as there are no specific signs and in the absence of characteristic ultrasound images, an exploratory laparotomy is essential.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Introdução:  A gravidez ectópica é uma das condições que mais aumentam a morbimortalidade materna. A incidência varia de 1:40 a 1: 100 gestações. É caracterizada pelo implante do embrião na cavidade peritoneal, fora da trompa de Falópio, do ovário e do ligamento largo do útero.  Objectivo:  familiarizar os clínicos gerais timorenses com as características clínicas, etiopatogenia e diagnóstico e tratamento desta condição obstétrica.  Método:  Foi apresentado um caso clínico de gravidez ectópica abdominal, atendido por uma equipe multidisciplinar de profissionais cubanos que colaboraram no Hospital Referal Maubisse (República Democrática de Timor Leste). A literatura sobre o assunto foi revisada em bancos de dados eletrônicos (SciELO, ClinicalKey, RedALyC, Scopus, PubMed, Clinical Evidence, Cochrane). Uma seleção foi feita por título e resumo pelos três autores; no caso de encontrar diferença, foi submetida a um quarto avaliador.  Resultados:  o exame clínico e a ultrassonografia abdominal possibilitaram o diagnóstico de gravidez ectópica abdominal com feto morto. Foi realizada laparotomia e um feto de 17 semanas foi encontrado em estado de mumificação e maceração asséptica, localizado no fundo do saco de Douglas. Foi possível a extração completa do tecido placentário sem complicações transoperatórias e evolução satisfatória.  Conclusões:  o quadro clínico é inespecífico e, embora o valor diagnóstico da ultrassonografia abdominal seja reconhecido, pois não há sinais específicos e na ausência de imagens ultrassonográficas características, é essencial uma laparotomia exploradora.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[embarazo abdominal]]></kwd>
<kwd lng="es"><![CDATA[embarazo ectópico]]></kwd>
<kwd lng="es"><![CDATA[resultado del embarazo.]]></kwd>
<kwd lng="en"><![CDATA[abdominal pregnancy]]></kwd>
<kwd lng="en"><![CDATA[ectopic pregnancy]]></kwd>
<kwd lng="en"><![CDATA[pregnancy result]]></kwd>
<kwd lng="pt"><![CDATA[gravidez abdominal]]></kwd>
<kwd lng="pt"><![CDATA[gravidez ectópica]]></kwd>
<kwd lng="pt"><![CDATA[resultado da gravidez]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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