title: Open to laparoscopic conversion in hemoperitoneum of unknown origin.
abstract: OBJECTIVE
  Demonstrating the potential, in spite of the current trend, of closing an open emergency surgical procedure and to convert it to a minimally invasive approach.
  
  
  METHODS
  Case report of an open converted to a laparoscopic approach in an emergency setting for hemoperitoneum of unknown origin.
  
  
  RESULTS
  A 28-year-old-female patient was transported to the operating room for suspected acute appendicitis. Through McBurney's incision, hemoperitoneum was found. She was hemodynamically stable. The open incision was closed and a laparoscopic approach established. The diagnosis was a ruptured right ectopic pregnancy with mild hemoperitoneum. After a laparoscopic salpingectomy, her recovery was uneventful.
  
  
  CONCLUSIONS
  For selected cases, the conversion of an open procedure to a laparoscopic approach offers a real benefit for the patient, avoiding a large laparotomy and its associated morbidity.
authors.affiliation: General Surgery Department, Carol Davila University of Medicine and Pharmacy, Emergency Hospital of Bucharest, Bucharest, Romania. drspaun@yahoo.com.
authors.forename: S
authors.initials: S
authors.lastname: Paun
authors.affiliation: General Surgery Department, Carol Davila University of Medicine and Pharmacy, Emergency Hospital of Bucharest, Bucharest, Romania.
authors.forename: I
authors.initials: I
authors.lastname: Negoi
authors.affiliation: General Surgery Department, Carol Davila University of Medicine and Pharmacy, Emergency Hospital of Bucharest, Bucharest, Romania.
authors.forename: R
authors.initials: R
authors.lastname: Ganescu
authors.affiliation: General Surgery Department, Carol Davila University of Medicine and Pharmacy, Emergency Hospital of Bucharest, Bucharest, Romania.
authors.forename: M
authors.initials: M
authors.lastname: Beuran
keywords: Conversion; Ectopic pregnancy; Hemoperitoneum; Laparoscopy
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