ArticleFrontiers in reproductive health2025
A rare case report of successful surgical treatment of diaphragmatic pregnancy after chemotherapy.
Article in Frontiers in reproductive health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Diaphragmatic pregnancy is a rare type of ectopic pregnancy, and its clinical manifestations are complicated and easy to misdiagnose, which presents great challenges for clinical diagnosis and treatment. We report a case of diaphragmatic pregnancy and describe its difficult but successful diagnosis and treatment in detail. Patient presentation: A 34-year-old woman from northern China was admitted to the hospital with delayed menstruation and right upper abdominal pain with right shoulder pain (Kehr's sign). An initial emergency laparoscopy for suspected ruptured ectopic pregnancy revealed hemoperitoneum but failed to identify the ectopic pregnancy tissue, likely due to an incomplete surgical survey. Subsequent serial Conclusion: This case highlights that Kehr's sign is a crucial diagnostic clue for upper abdominal ectopic pregnancy. A systematic survey of the entire abdomen, including the diaphragm, is mandatory during laparoscopy to avoid diagnostic omission. The sequential combination of chemotherapy and surgical treatment may represent an effective strategy to minimize surgical risk and optimize outcomes for this high-risk condition.
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