Heterotopic Triplet Pregnancy after In Vitro Fertilization with Favorable Outcome of the Intrauterine Twin Pregnancy Subsequent to Surgical Treatment of the Tubal Pregnancy

Heterotopic triplet pregnancy is an exceptionally rare medical condition. The broad use of assisted reproductive technologies has contributed to the increase of ectopic and subsequently heterotopic pregnancy rate, masking a life-threatening condition for the gravid and the intrauterine pregnancy. We...

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Main Authors: Theodoros Felekis, Christodoulos Akrivis, Panagiotis Tsirkas, Ioannis Korkontzelos
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2014/356131
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author Theodoros Felekis
Christodoulos Akrivis
Panagiotis Tsirkas
Ioannis Korkontzelos
author_facet Theodoros Felekis
Christodoulos Akrivis
Panagiotis Tsirkas
Ioannis Korkontzelos
author_sort Theodoros Felekis
collection DOAJ
description Heterotopic triplet pregnancy is an exceptionally rare medical condition. The broad use of assisted reproductive technologies has contributed to the increase of ectopic and subsequently heterotopic pregnancy rate, masking a life-threatening condition for the gravid and the intrauterine pregnancy. We describe a case of a woman with heterotopic triplets at 9+4 gestational week following transfer of three embryos obtained by in vitro fertilization techniques. The ectopic tubal pregnancy was ruptured and salpingectomy was performed by laparotomy. The intrauterine pregnancy progressed to the delivery by cesarean section of two healthy twins at 36+2 gestational age. Heterotopic triplets with tubal ectopic are a special diagnostic and therapeutic challenge for the obstetrician. High index of suspicion and timely treatment by laparotomy or laparoscopy can preserve the intrauterine gestation with a successful outcome of the pregnancy.
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institution Kabale University
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publishDate 2014-01-01
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series Case Reports in Obstetrics and Gynecology
spelling doaj-art-f60a9048a19f45809366f7c62ecf2b6b2025-02-03T06:00:34ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922014-01-01201410.1155/2014/356131356131Heterotopic Triplet Pregnancy after In Vitro Fertilization with Favorable Outcome of the Intrauterine Twin Pregnancy Subsequent to Surgical Treatment of the Tubal PregnancyTheodoros Felekis0Christodoulos Akrivis1Panagiotis Tsirkas2Ioannis Korkontzelos3Department of Obstetrics and Gynecology, “G. Hatzikosta” General State Hospital, Makrygianni Avenue, 45445 Ioannina, GreeceDepartment of Obstetrics and Gynecology, “G. Hatzikosta” General State Hospital, Makrygianni Avenue, 45445 Ioannina, GreeceDepartment of Obstetrics and Gynecology, “G. Hatzikosta” General State Hospital, Makrygianni Avenue, 45445 Ioannina, GreeceDepartment of Obstetrics and Gynecology, “G. Hatzikosta” General State Hospital, Makrygianni Avenue, 45445 Ioannina, GreeceHeterotopic triplet pregnancy is an exceptionally rare medical condition. The broad use of assisted reproductive technologies has contributed to the increase of ectopic and subsequently heterotopic pregnancy rate, masking a life-threatening condition for the gravid and the intrauterine pregnancy. We describe a case of a woman with heterotopic triplets at 9+4 gestational week following transfer of three embryos obtained by in vitro fertilization techniques. The ectopic tubal pregnancy was ruptured and salpingectomy was performed by laparotomy. The intrauterine pregnancy progressed to the delivery by cesarean section of two healthy twins at 36+2 gestational age. Heterotopic triplets with tubal ectopic are a special diagnostic and therapeutic challenge for the obstetrician. High index of suspicion and timely treatment by laparotomy or laparoscopy can preserve the intrauterine gestation with a successful outcome of the pregnancy.http://dx.doi.org/10.1155/2014/356131
spellingShingle Theodoros Felekis
Christodoulos Akrivis
Panagiotis Tsirkas
Ioannis Korkontzelos
Heterotopic Triplet Pregnancy after In Vitro Fertilization with Favorable Outcome of the Intrauterine Twin Pregnancy Subsequent to Surgical Treatment of the Tubal Pregnancy
Case Reports in Obstetrics and Gynecology
title Heterotopic Triplet Pregnancy after In Vitro Fertilization with Favorable Outcome of the Intrauterine Twin Pregnancy Subsequent to Surgical Treatment of the Tubal Pregnancy
title_full Heterotopic Triplet Pregnancy after In Vitro Fertilization with Favorable Outcome of the Intrauterine Twin Pregnancy Subsequent to Surgical Treatment of the Tubal Pregnancy
title_fullStr Heterotopic Triplet Pregnancy after In Vitro Fertilization with Favorable Outcome of the Intrauterine Twin Pregnancy Subsequent to Surgical Treatment of the Tubal Pregnancy
title_full_unstemmed Heterotopic Triplet Pregnancy after In Vitro Fertilization with Favorable Outcome of the Intrauterine Twin Pregnancy Subsequent to Surgical Treatment of the Tubal Pregnancy
title_short Heterotopic Triplet Pregnancy after In Vitro Fertilization with Favorable Outcome of the Intrauterine Twin Pregnancy Subsequent to Surgical Treatment of the Tubal Pregnancy
title_sort heterotopic triplet pregnancy after in vitro fertilization with favorable outcome of the intrauterine twin pregnancy subsequent to surgical treatment of the tubal pregnancy
url http://dx.doi.org/10.1155/2014/356131
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