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DOI: 10.1055/a-2201-5796
A Spontaneous Tubal Heterotopic Triplet Pregnancy Resulting in Viable Twin Deliveries
Funding None.
Abstract
There are limited U.S. reports of spontaneous triplet heterotopic pregnancies discussing both maternal and fetal outcomes. A 34-year-old patient at 7 weeks of gestation presented to the emergency department with abdominal pain. She was diagnosed with a spontaneous heterotopic triplet pregnancy, consisting of a twin monochorionic-diamniotic intrauterine gestation and a ruptured left ectopic pregnancy. She underwent a laparoscopic unilateral salpingectomy. Her antepartum course was complicated by gestational diabetes mellitus and fetal growth restriction. Delivery of liveborn twins was via a cesarean delivery at 32 weeks. Timely intervention and management of a ruptured spontaneous triplet heterotopic pregnancy can result in a viable twin delivery with overall favorable maternal and newborn outcomes, although long-term implications due to prematurity and other twin sequelae exist.
Keywords
heterotopic pregnancy - heterotopic - triplet pregnancy - multiple - gestation - preterm delivery - monochorionic-monoamniotic twin - fetal growth restriction - fertility - infertilityInformed Consent
The patient provided written informed consent regarding this case report.
Publikationsverlauf
Eingereicht: 21. Juni 2021
Angenommen: 20. Oktober 2023
Accepted Manuscript online:
30. Oktober 2023
Artikel online veröffentlicht:
23. Januar 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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