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Ectopic pregnancy causing hemothorax managed by thoracoscopy and actinomycin D
D A Fishman1, L A Padilla, A Joob
1Department of Obstetrics and Gynecology, Northwestern University Medical School, Chicago, Illinois, USA. dfishman@nmh.org
Obstetrics and Gynecology
|May 8, 1998
Abstract
Background:
Most patients with extratubal ectopic pregnancies present with vaginal bleeding and lower abdominal pain. We report a case of an extratubal ectopic pregnancy with extra-abdominal manifestations.
Case:
An ectopic pregnancy implanted on the diaphragm resulted in spontaneous hemothorax due to trophoblastic invasion into the pleura. Thoracoscopic excision followed by actinomycin D chemotherapy provided successful resolution of the ectopic pregnancy.
Conclusion:
Abdominal pregnancies may have bizarre clinical presentations.