Ectopic pregnancy causing hemothorax managed by thoracoscopy and actinomycin D.
case_report · Level V
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- Record sourced from PubMed, PMID 9572182.
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Abstract
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. 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. Abdominal pregnancies may have bizarre clinical presentations.
Medical subject headings
- Adult
- Antibiotics, Antineoplastic
- Antibiotics, Antineoplastic/therapeutic use
- Combined Modality Therapy
- Dactinomycin
- Dactinomycin/therapeutic use
- Endoscopy
- Female
- Hemothorax
- Hemothorax/etiology
- Hemothorax/therapy
- Humans
- Pregnancy
- Pregnancy, Abdominal
- Pregnancy, Abdominal/complications
- Pregnancy, Abdominal/diagnosis
- Pregnancy, Abdominal/therapy
- Thoracoscopy