title: Ectopic pregnancy causing hemothorax managed by thoracoscopy and actinomycin D.
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.
  
  
  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.
authors.affiliation: Department of Obstetrics and Gynecology, Northwestern University Medical School, Chicago, Illinois, USA. dfishman@nmh.org
authors.forename: D A
authors.initials: DA
authors.lastname: Fishman
authors.forename: L A
authors.initials: LA
authors.lastname: Padilla
authors.forename: A
authors.initials: A
authors.lastname: Joob
authors.forename: J R
authors.initials: JR
authors.lastname: Lurain
mesh_terms: 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
chemical_list: D000903:Antibiotics, Antineoplastic; D003609:Dactinomycin