<?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>0121-5256</journal-id>
<journal-title><![CDATA[Revista Med]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Med]]></abbrev-journal-title>
<issn>0121-5256</issn>
<publisher>
<publisher-name><![CDATA[Universidad Militar Nueva Granada. Facultad de Medicina]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0121-52562021000100097</article-id>
<article-id pub-id-type="doi">10.18359/rmed.5169</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Reporte de caso: placenta percreta con previa embolización de vasos anómalos]]></article-title>
<article-title xml:lang="en"><![CDATA[Case Report: Placenta Percreta With Previous Embolization of Anomalous Vessels]]></article-title>
<article-title xml:lang="pt"><![CDATA[Relato de caso: placenta percrete com embolização prévia de vasos anómalos]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Meneses-Parra]]></surname>
<given-names><![CDATA[Angy Lorena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Niño-González]]></surname>
<given-names><![CDATA[Jorge Ernesto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Riaño]]></surname>
<given-names><![CDATA[Diego Armando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Militar Nueva Granada  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitario Clínica San Rafael  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Militar Nueva Granada  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</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>29</volume>
<numero>1</numero>
<fpage>97</fpage>
<lpage>104</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0121-52562021000100097&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0121-52562021000100097&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0121-52562021000100097&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: el acretismo placentario es una de las complicaciones obstétricas más temidas. Se entiende como el proceso de inserción placentaria anormal, secundario a un procedimiento quirúrgico, lo que ocasiona un error de decidualización en el área cicatricial que lleva a la profundización anormal del trofoblasto. La frecuencia de esta patología ha ido en aumento debido al incremento en la tasa de cesáreas en los últimos años. El caso se presenta en el hospital Universitario Clínica San Rafael en Bogotá, se trata de una paciente de 36 años, gestación de 37,1 semanas, con antecedente de cesárea previa, en quien se evidenció percretismo placentario; luego del nacimiento, se dejó placenta in situ y así el servicio de cirugía endovascular realizó embolización de vasos anómalos, lo que disminuyó el sangrado en la histerectomía diferida. Se comprobó evolución favorable y seguimiento de la paciente hasta ser dada de alta de la institución sin complicaciones. Actualmente existen diversos abordajes terapéuticos, entre ellos la histerectomía posterior de la cesárea y el manejo médico hasta involución de la placenta e histerectomía diferida, todos encaminados a disminuir complicaciones asociadas, entre las cuales las más frecuentes son la hemorragia, los requerimientos de transfusión y los días de hospitalización e infección, con el fin de disminuir la morbimortalidad materna extrema.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: placental accretism is one of the most feared obstetric complications. It is understood as the process of abnormal placental insertion, secondary to a surgical procedure, which causes a decidualization error in the scar area leading to abnormal deepening of the trophoblast. The freguency of this pathology has been increasing due to the increase in the rate of cesarean sections in recent years. The case is presented in the hospital Universitario Clínica San Rafael in Bogotá, it is a 36-year-old patient, 37,1 weeks gestation, with a history of previous cesarean section, with an evident case of placenta percreta; after birth, placenta was left in place and thus the endovascular surgery service performed embolization of anomalous vessels, which reduced bleeding in the deferred hysterectomy. A favorable evolution was verified, and the patient was followed up until she was discharged from the institution without complications. Currently, there are several therapeutic approaches, including hysterectomy after cesarean section and medical management up to placental involution and delayed hysterectomy, all aimed at reducing associated complications, among which the most frequent are hemorrhage, transfusion requirements and days of hospitalization and infection, in order to reduce extreme maternal morbimortality.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  o acretismo placentário é urna das complicações obstétricas mais temidas. Entende-se como o processo de inserção placentária anormal, secundário a um procedimento cirúrgico, que causa um erro de decidualização na área cicatricial levando ao aprofundamento anormal do trofoblasto. A frequência dessa patologia vem aumentando devido ao aumento da taxa de cesarianas nos últimos anos. O caso é apresentado no Hospital Universitário Clínica San Rafael, em Bogotá, é uma paciente de 36 anos, 37,1 semanas de gestação, com história de cesariana anterior, na qual foi evidenciado percretismo placentário; após o nascimento, a placenta foi deixada in situ e, portanto, uma cirurgia endovascular foi feita para que fosse possível embolizar os vasos anómalos, o que diminuiu o sangramento na histerectomia tardia. Evolução favorável e acompanhamento da paciente até receber alta da instituição sem complicações. Atualmente, existem várias abordagens terapêuticas, incluindo histerectomia pós-cesariana e manejo médico até involução placentária e histerectomia tardia, todas com o objetivo de reduzir as complicações associadas, dentre as quais as mais comuns são sangramento, necessidade de transfusão e dias de internação e infecção, a fim de reduzir a mortalidade materna extrema.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[placenta percreta]]></kwd>
<kwd lng="es"><![CDATA[placenta acreta]]></kwd>
<kwd lng="es"><![CDATA[ultrasonografía]]></kwd>
<kwd lng="es"><![CDATA[embolización]]></kwd>
<kwd lng="es"><![CDATA[placenta previa]]></kwd>
<kwd lng="en"><![CDATA[placenta percreta]]></kwd>
<kwd lng="en"><![CDATA[placenta accreta]]></kwd>
<kwd lng="en"><![CDATA[ultrasonography]]></kwd>
<kwd lng="en"><![CDATA[embolization]]></kwd>
<kwd lng="en"><![CDATA[placenta previa]]></kwd>
<kwd lng="pt"><![CDATA[placenta percrete]]></kwd>
<kwd lng="pt"><![CDATA[placenta acreta]]></kwd>
<kwd lng="pt"><![CDATA[ultrassonografia]]></kwd>
<kwd lng="pt"><![CDATA[embolização]]></kwd>
<kwd lng="pt"><![CDATA[placenta prévia]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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