A Spontaneous Tubal Heterotopic Triplet Pregnancy Resulting in Viable Twin Deliveries

Autor: Luce Kassi, Emma Lantos, Jordan Sheran, Lynn M. Yee
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: American Journal of Perinatology Reports, Vol 14, Iss 01, Pp e7-e10 (2024)
Druh dokumentu: article
ISSN: 2157-6998
2157-7005
DOI: 10.1055/a-2201-5796
Popis: 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.
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