title: Ectopic pregnancy: a heart beating case.
abstract: Abdominal pregnancy is a rare event that occurs in western countries in 1.3% of ectopic gestations. Delayed diagnosis and attempted removal of the fetus have occasionally resulted in massive and even fatal intraperitoneal hemorrhage. We present a case of an ectopic pregnancy at the intraabdominal surface of the left diaphragm, which was removed successfully with laparoscopic hydrodissection. This case report demonstrates that awareness of this condition is important when the location of the pregnancy cannot be found in the lower abdominal cavity, especially if the patient has unexplained complaints such as shoulder pain.
authors.affiliation: Department of Gynecology, Leiden University Medical Centre, Leiden, The Netherlands.
authors.forename: Indra Marianne
authors.initials: IM
authors.lastname: Dennert
authors.forename: Heleen
authors.initials: H
authors.lastname: van Dongen
authors.forename: Frank Willem
authors.initials: FW
authors.lastname: Jansen
mesh_terms: D000328:Adult; D003964:Diaphragm / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000601:surgery*