<?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>1561-3194</journal-id>
<journal-title><![CDATA[Revista de Ciencias Médicas de Pinar del Río]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Ciencias Médicas]]></abbrev-journal-title>
<issn>1561-3194</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1561-31942019000400578</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Embarazo ectópico abdominal a término con feto vivo en mujer angolana adulta joven]]></article-title>
<article-title xml:lang="en"><![CDATA[Term ectopic abdominal pregnancy with live fetus in young adult Angolan woman]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez Machado]]></surname>
<given-names><![CDATA[Rolando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Álvarez Hernández]]></surname>
<given-names><![CDATA[Margarita]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Borges Damas]]></surname>
<given-names><![CDATA[Lareisy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Peñalver Sinclay]]></surname>
<given-names><![CDATA[Ana Gladys]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Parra Linares]]></surname>
<given-names><![CDATA[Edwar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Comandante Ciro Redondo García  ]]></institution>
<addr-line><![CDATA[Artemisa ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Provincial de Benguela  ]]></institution>
<addr-line><![CDATA[Benguela ]]></addr-line>
<country>Angola</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Facultad de Ciencias Médicas de Artemisa  ]]></institution>
<addr-line><![CDATA[Artemisa ]]></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>23</volume>
<numero>4</numero>
<fpage>578</fpage>
<lpage>586</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1561-31942019000400578&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1561-31942019000400578&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1561-31942019000400578&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  el embarazo ectópico abdominal es una anomalía excepcional que representa el 1 % de los embarazos ectópicos; se asocia con alta morbilidad y mortalidad materna y fetal. El riesgo de mortalidad materna es de siete a ocho veces mayor que el de un embarazo ectópico tubario y 90 veces mayor que el de un embarazo intrauterino. Presentación del caso: paciente angolana adulta joven con un embarazo ectópico abdominal diagnosticado al término del embarazo. Se trató con éxito mediante cesárea con extracción del feto vivo y sin complicaciones. No se extrajo la placenta por encontrarse implantada al Meso intestinal y se aplicó tratamiento con metrotexate posterior a la intervención quirúrgica.  Conclusiones:  el embarazo abdominal es una enfermedad de difícil diagnóstico a pesar de los avances tecnológicos. Por lo que el sistema de salud debe establecer estrategias y programas educativos accesibles, dirigidos a la población femenina que tengan sospecha de embarazo ectópico. Una vez diagnosticado el embarazo abdominal, debe interrumpirse, a menos que la edad de gestación sea avanzada. El manejo de la placenta debe ser individualizado.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  abdominal ectopic pregnancy is an exceptional abnormality representing 1% of ectopic pregnancies; it is associated with high maternal and fetal morbidity and mortality. The risk of maternal mortality is seven to eight times greater than a tubal ectopic pregnancy and 90 times greater than an intrauterine pregnancy.  Case report:  young adult Angolan patient with an ectopic abdominal pregnancy diagnosed at the end of pregnancy; successfully treated by caesarean section with live, uncomplicated extraction of the fetus. Removal of the placenta was not attempted as it was implanted in the mesointestinal structure; undergoing treatment with methotrexate after the surgery.  Conclusions:  abdominal pregnancy is a complex disease to be diagnosed despite technological advances. Therefore, the health system must establish accessible educational strategies and programs aimed at taking care of female population suspected of ectopic pregnancy. Once an abdominal pregnancy has been diagnosed, it should be interrupted, except the gestational age is advanced. The management of the placenta should be individualized.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[EMBARAZO ECTÓPICO]]></kwd>
<kwd lng="es"><![CDATA[EMBARAZO ABDOMINAL]]></kwd>
<kwd lng="es"><![CDATA[DIAGNÓSTICO]]></kwd>
<kwd lng="es"><![CDATA[TRATAMIENTO]]></kwd>
<kwd lng="es"><![CDATA[ATENCIÓN AL PACIENTE]]></kwd>
<kwd lng="en"><![CDATA[PREGNANCY, ECTOPIC]]></kwd>
<kwd lng="en"><![CDATA[PREGNANCY, ABDOMINAL]]></kwd>
<kwd lng="en"><![CDATA[DIAGNOSIS]]></kwd>
<kwd lng="en"><![CDATA[TREATMENT]]></kwd>
<kwd lng="en"><![CDATA[PATIENT CARE.]]></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[Ibáñez Cayón]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Soto del Pino]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez González]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Portales Cárdenas]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Metotrexate Treatment Cornual Ectopic Pregnancy]]></article-title>
<source><![CDATA[Rev Cubana Obstet Ginecol]]></source>
<year>2017</year>
<volume>43</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hernández Núñez]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Valdés Yong]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Torres Chávez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Factores de riesgo asociados al embarazo ectópico]]></article-title>
<source><![CDATA[Medisur]]></source>
<year>2013</year>
<volume>11</volume>
<numero>6</numero>
<issue>6</issue>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Virelles-Pacheco]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Bonet-Fonseca]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Santiesteban-Vázquez]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Factores relacionados con el embarazo ectópico]]></article-title>
<source><![CDATA[Multimed]]></source>
<year>2017</year>
<volume>21</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Campechano López]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Carranza Bernal]]></surname>
<given-names><![CDATA[ML]]></given-names>
</name>
<name>
<surname><![CDATA[Juanico Morales]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Reyes Gil]]></surname>
<given-names><![CDATA[MR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Respuesta exitosa del ERI en un caso de embarazo ectópico cervical]]></article-title>
<source><![CDATA[Rev Med Inst Mex Seguro Soc]]></source>
<year>2016</year>
<volume>54</volume>
<numero>6</numero>
<issue>6</issue>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Oneko]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Petru]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Masenga]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Ulrich]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Obure]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Zeck]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Management of the placenta in advanced abdominal pregnancies at an East african tertiary referral center]]></article-title>
<source><![CDATA[J Womens Health (Larchmt)]]></source>
<year>2010</year>
<volume>19</volume>
<numero>7</numero>
<issue>7</issue>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vargas Hernández]]></surname>
<given-names><![CDATA[VM]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández Fierro]]></surname>
<given-names><![CDATA[MJR]]></given-names>
</name>
<name>
<surname><![CDATA[Ventura Quintana]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Tovar Rodríguez]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Embarazo ectópico abdominal, presentación de un caso y revisión de la literatura.]]></article-title>
<source><![CDATA[Rev Chil Obstet Ginecol]]></source>
<year>2017</year>
<volume>82</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="">
<source><![CDATA[Cubasi.cu [Internet]. Cuba: ETECSA; c2014-2018]]></source>
<year>2017</year>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Puch Ceballos]]></surname>
<given-names><![CDATA[EE]]></given-names>
</name>
<name>
<surname><![CDATA[Vázquez Castro]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Osorio Pérez]]></surname>
<given-names><![CDATA[AI]]></given-names>
</name>
<name>
<surname><![CDATA[Ramos Ayala]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Villarreal Sosa]]></surname>
<given-names><![CDATA[CO]]></given-names>
</name>
<name>
<surname><![CDATA[Ruvalcaba Rivera]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Embarazo ectópico abdominal. Reporte de un caso y revisión de la bibliografía]]></article-title>
<source><![CDATA[Ginecol Obstet Mex]]></source>
<year>2015</year>
<volume>83</volume>
<numero>7</numero>
<issue>7</issue>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Prades Hung]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Tamayo Leal]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Ventura Graz]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Embarazo ectópico tubárico con feto vivo en una adulta joven]]></article-title>
<source><![CDATA[MEDISAN]]></source>
<year>2018</year>
<volume>22</volume>
<numero>5</numero>
<issue>5</issue>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chirino Acosta]]></surname>
<given-names><![CDATA[PA]]></given-names>
</name>
<name>
<surname><![CDATA[Sarmiento Vitón]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<name>
<surname><![CDATA[González Linares]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Cabrera Rumayor]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Soto Paez]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Embarazo ectópico abdominal]]></article-title>
<source><![CDATA[Rev Ciencias Médicas]]></source>
<year>2015</year>
<volume>19</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[Mora Enríquez]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Arreaza Graterol]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Nossa Moreno]]></surname>
<given-names><![CDATA[HH]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez Ortiz]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Embarazo abdominal avanzado: diagnóstico y manejo. Reporte de un caso y revisión de la literatura.]]></article-title>
<source><![CDATA[Rev Colomb Obstet Ginecol]]></source>
<year>2014</year>
<volume>65</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Studdiford]]></surname>
<given-names><![CDATA[WE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Primary peritoneal pregnancy]]></article-title>
<source><![CDATA[Am J Obstet Gynecol]]></source>
<year>1942</year>
<volume>44</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[Gutierrez]]></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[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Garrido]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Castán]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Embarazo ectópico abdominal. Diagnóstico y tratamiento médico con metrotexato]]></article-title>
<source><![CDATA[Prog Obstet Ginecol]]></source>
<year>2011</year>
<volume>54</volume>
<numero>5</numero>
<issue>5</issue>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
