PDF herunterladen
CC BY-NC-ND 4.0 · AJP Rep 2024; 14(01): e7-e10
DOI: 10.1055/a-2201-5796
Case Report

A Spontaneous Tubal Heterotopic Triplet Pregnancy Resulting in Viable Twin Deliveries

Luce Kassi
1   Department of Obstetrics and Gynecology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
,
Emma Lantos
1   Department of Obstetrics and Gynecology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
,
Jordan Sheran
1   Department of Obstetrics and Gynecology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
,
Lynn M. Yee
1   Department of Obstetrics and Gynecology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
› Institutsangaben Funding None.
› Weitere Informationen
Auch verfügbar auf
   Lizenzen und Reprints

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 - infertility

Informed 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/)

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • References

  • 1 Bataille P, Reynard A, Ducarme G. Spontaneous heterotopic triplets - A review of literature. J Gynecol Obstet Hum Reprod 2017; 46 (08) 657-659
    CrossrefPubMedGoogle Scholar
  • 2 Tal J, Haddad S, Gordon N, Timor-Tritsch I. Heterotopic pregnancy after ovulation induction and assisted reproductive technologies: a literature review from 1971 to 1993. Fertil Steril 1996; 66 (01) 1-12
    CrossrefPubMedGoogle Scholar
  • 3 Denbow ML, Cox P, Taylor M, Hammal DM, Fisk NM. Placental angioarchitecture in monochorionic twin pregnancies: relationship to fetal growth, fetofetal transfusion syndrome, and pregnancy outcome. Am J Obstet Gynecol 2000; 182 (02) 417-426
    CrossrefPubMedGoogle Scholar
  • 4 Talbot K, Simpson R, Price N, Jackson SR. Heterotopic pregnancy. J Obstet Gynaecol 2011; 31 (01) 7-12
    CrossrefPubMedGoogle Scholar
  • 5 Goldstein JS, Ratts VS, Philpott T, Dahan MH. Risk of surgery after use of potassium chloride for treatment of tubal heterotopic pregnancy. Obstet Gynecol 2006; 107 (2 Pt 2): 506-508
    CrossrefPubMedGoogle Scholar
  • 6 Suzuki M, Itakura A, Fukui R, Kikkawa F. Successful treatment of a heterotopic cervical pregnancy and twin gestation by sonographically guided instillation of hyperosmolar glucose. Acta Obstet Gynecol Scand 2007; 86 (03) 381-383
    CrossrefPubMedGoogle Scholar
  • 7 Deffieux X, Ballester M, Collinet P, Fauconnier A, Pierre F. French National College of Gynaecologists and Obstetricians. Risks associated with laparoscopic entry: guidelines for clinical practice from the French College of Gynaecologists and Obstetricians. Eur J Obstet Gynecol Reprod Biol 2011; 158 (02) 159-166
    CrossrefPubMedGoogle Scholar
  • 8 Ozcan MCH, Wilson JR, Frishman GN. A systematic review and meta-analysis of surgical treatment of ectopic pregnancy with salpingectomy versus salpingostomy. J Minim Invasive Gynecol 2021; 28 (03) 656-667
    CrossrefPubMedGoogle Scholar