Spontaneous Heterotopic Triplet Pregnancy with a Two Viable Intrauterine Embryos and an Ectopic One with Right Tubal Rupture
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 ge...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Federação Brasileira das Sociedades de Ginecologia e Obstetrícia
2019-06-01
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| Series: | Revista Brasileira de Ginecologia e Obstetrícia |
| Subjects: | |
| Online Access: | http://www.scielo.br/pdf/rbgo/v41n4/0100-7203-rbgo-41-04-268.pdf |
| _version_ | 1828127208295628800 |
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| author | Adriano Carvalho Guimarães Luciano Dias de Oliveira Reis Fabio Chaves Leite Cassiana Franco Dias dos Reis Alex Paula Costa Walter Junior Boim de Araujo |
| author_facet | Adriano Carvalho Guimarães Luciano Dias de Oliveira Reis Fabio Chaves Leite Cassiana Franco Dias dos Reis Alex Paula Costa Walter Junior Boim de Araujo |
| author_sort | Adriano Carvalho Guimarães |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-11T15:46:53Z |
| format | Article |
| id | doaj.art-532dbbbfe76e46d6afbd950e9f556725 |
| institution | Directory Open Access Journal |
| issn | 0100-7203 |
| language | English |
| last_indexed | 2024-04-11T15:46:53Z |
| publishDate | 2019-06-01 |
| publisher | Federação Brasileira das Sociedades de Ginecologia e Obstetrícia |
| record_format | Article |
| series | Revista Brasileira de Ginecologia e Obstetrícia |
| spelling | doaj.art-532dbbbfe76e46d6afbd950e9f5567252022-12-22T04:15:31ZengFederação Brasileira das Sociedades de Ginecologia e ObstetríciaRevista Brasileira de Ginecologia e Obstetrícia0100-72032019-06-0141426827210.1055/s-0039-1683910Spontaneous Heterotopic Triplet Pregnancy with a Two Viable Intrauterine Embryos and an Ectopic One with Right Tubal RuptureAdriano Carvalho Guimarãeshttps://orcid.org/0000-0002-0547-5596Luciano Dias de Oliveira ReisFabio Chaves LeiteCassiana Franco Dias dos ReisAlex Paula CostaWalter Junior Boim de AraujoAbstract 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.http://www.scielo.br/pdf/rbgo/v41n4/0100-7203-rbgo-41-04-268.pdfobstetrical surgerypregnancy complicationsheterotopic pregnancymultiple pregnancytubal pregnancy |
| spellingShingle | Adriano Carvalho Guimarães Luciano Dias de Oliveira Reis Fabio Chaves Leite Cassiana Franco Dias dos Reis Alex Paula Costa Walter Junior Boim de Araujo Spontaneous Heterotopic Triplet Pregnancy with a Two Viable Intrauterine Embryos and an Ectopic One with Right Tubal Rupture Revista Brasileira de Ginecologia e Obstetrícia obstetrical surgery pregnancy complications heterotopic pregnancy multiple pregnancy tubal pregnancy |
| title | Spontaneous Heterotopic Triplet Pregnancy with a Two Viable Intrauterine Embryos and an Ectopic One with Right Tubal Rupture |
| title_full | Spontaneous Heterotopic Triplet Pregnancy with a Two Viable Intrauterine Embryos and an Ectopic One with Right Tubal Rupture |
| title_fullStr | Spontaneous Heterotopic Triplet Pregnancy with a Two Viable Intrauterine Embryos and an Ectopic One with Right Tubal Rupture |
| title_full_unstemmed | Spontaneous Heterotopic Triplet Pregnancy with a Two Viable Intrauterine Embryos and an Ectopic One with Right Tubal Rupture |
| title_short | Spontaneous Heterotopic Triplet Pregnancy with a Two Viable Intrauterine Embryos and an Ectopic One with Right Tubal Rupture |
| title_sort | spontaneous heterotopic triplet pregnancy with a two viable intrauterine embryos and an ectopic one with right tubal rupture |
| topic | obstetrical surgery pregnancy complications heterotopic pregnancy multiple pregnancy tubal pregnancy |
| url | http://www.scielo.br/pdf/rbgo/v41n4/0100-7203-rbgo-41-04-268.pdf |
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