Open to laparoscopic conversion in hemoperitoneum of unknown origin

  • S. PaunEmail author
  • I. Negoi
  • R. Ganescu
  • M. Beuran



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.


Case report of an open converted to a laparoscopic approach in an emergency setting for hemoperitoneum of unknown origin.


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.


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.


Ectopic pregnancy Conversion Laparoscopy Hemoperitoneum 


Conflict of interest


Supplementary material

Supplementary material 1 (MPG 97939 kb)


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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  1. 1.General Surgery DepartmentCarol Davila University of Medicine and Pharmacy, Emergency Hospital of BucharestBucharestRomania

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