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Arch Gynecol Obstet. 2010 Dec;282(6):601-6. doi: 10.1007/s00404-010-1577-z. Epub 2010 Jun 30.

Heterotopic triplets: tubal ectopic and twin intrauterine pregnancy. A review of obstetric outcomes with a case report.

Author information

1
Department of Obstetrics and Gynaecology, Division of Maternal-Fetal Medicine, Puerta del Mar University Hospital, Avda. Ana de Viya 21, Cádiz, Spain. fgbugatto@yahoo.com

Abstract

INTRODUCTION:

Heterotopic triplets hardly take place, but nowadays the extended use of assisted reproductive technologies is increasing the ectopic pregnancies rate and subsequently the heterotopic pregnancies, leading to a potentially dangerous condition for the woman and the intrauterine pregnancy.

MATERIAL AND METHODS:

Fourteen cases previously reported in the literature of patients presenting an intrauterine twin pregnancy which became complicated by a tubal ectopic pregnancy have been reviewed. The case of a patient following a homologous intrauterine insemination treatment, resulting in live birth of both twins, is also described.

CONCLUSION:

Although the diagnosis of heterotopic triplets with tubal ectopic is challenging, a timely surgical treatment will preserve intrauterine gestation with a great chance of a successful obstetric outcome for both twins.

PMID:
20589384
DOI:
10.1007/s00404-010-1577-z
[Indexed for MEDLINE]

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