Ectopic pregnancy causing hemothorax managed by thoracoscopy and actinomycin D.
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.


METHODS
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.


CONCLUSIONS
Abdominal pregnancies may have bizarre clinical presentations.
Fishman
D A
DA
Department of Obstetrics and Gynecology, Northwestern University Medical School, Chicago, Illinois, USA. dfishman@nmh.org
Padilla
L A
LA
Joob
A
A
Lurain
J R
JR
D000328:Adult; D000903:Antibiotics, Antineoplastic / Q000627:therapeutic use*; D003131:Combined Modality Therapy; D003609:Dactinomycin / Q000627:therapeutic use*; D004724:Endoscopy; D005260:Female; D006491:Hemothorax / Q000209:etiology* / Q000628:therapy; D006801:Humans; D011247:Pregnancy; D011269:Pregnancy, Abdominal / Q000150:complications* / Q000175:diagnosis / Q000628:therapy*; D013906:Thoracoscopy
D000903:Antibiotics, Antineoplastic; D003609:Dactinomycin