| Autor: |
Adriano Carvalho Guimarães, Luciano Dias de Oliveira Reis, Fabio Chaves Leite, Cassiana Franco Dias dos Reis, Alex Paula Costa, Walter Junior Boim de Araujo |
| Jazyk: |
English<br />Portuguese |
| Rok vydání: |
2019 |
| Předmět: |
|
| Zdroj: |
Revista Brasileira de Ginecologia e Obstetrícia, Vol 41, Iss 4, Pp 268-272 (2019) |
| Druh dokumentu: |
article |
| ISSN: |
0100-7203 |
| DOI: |
10.1055/s-0039-1683910 |
| Popis: |
Abstract Heterotopic pregnancy (HP) is defined as the simultaneous development of an intra- and an extra uterine gestation. The occurrence of a spontaneous triplet HP is an exceptionally rare medical condition. We report the case of a young woman with spontaneous heterotopic triplets at 8weeks of gestation, with amisdiagnosis of topic twins and acute appendicitis. The ectopic tubal pregnancy was ruptured and a salpingectomy was performed by laparotomy. The intrauterine pregnancy progressed uneventfully. The two healthy babies were delivery by cesarean section at 36 ± 2 weeks of gestation. Heterotopic triplets with ruptured tubal ectopic pregnancy represent a special diagnostic and therapeutic challenge for the obstetrician. A high rate of clinical suspicion and timely treatment by laparotomy or laparoscopy can preserve the intrauterine gestation with a successful outcome of the pregnancy. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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