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. Cas e: An ectopic pregnancy implanted on the diaphragm resulted in spontan eous hemothorax due to trophoblastic invasion into the pleura. Thoraco scopic excision followed by actinomycin D chemotherapy provided succes sful resolution of the ectopic pregnancy. Conclusion: Abdominal pregna ncies may have bizarre clinical presentations. (C) 1998 by The America n College of Obstetricians and Gynecologists.