Heterotopic multiple pregnancy: report of a case with bilateral ectopic pregnancy and triplet intrauterine pregnancy
Journal Title: Scholars Journal of Medical Case Reports - Year 2014, Vol 2, Issue 9
Abstract
Literature is replete with case reports of heterotopic pregnancy (HP). With IVF, incidence of heterotopic pregnancy increased. Although bilateral ectopic with an intrauterine pregnancy has been reported, there is no report of bilateral ectopic with triplet intrauterine pregnancy in literature so far. Here we report a 25 year old gravida 2 para 1 with previous premature preterm delivery. Present pregnancy was conceived following ovulation induction with 150 mg/day clomiphene citrate. Ultrasonography revealed bilateral ectopic with three intrauterine viable foetuses. An expectant approach was considered appropriate. Five weeks after diagnosis, intrauterine foetuses continued to grow at normal pace while left tubal ectopic resolved. Right tubal ectopic resolved by 20 weeks gestation. The pregnancy was strictly followed up with optimal progesterone support, timely steroid prophylaxis and managed several times for threatened preterm labour. At 33 weeks 3 days, three live babies were delivered by emergency caesarean. Keywords: heterotopic pregnancy, bilateral ectopic, expectant management, preterm labour
Authors and Affiliations
Dr Smita Sinha, Dr Harkiran Kaur Khaira, Dr Manjot Kaur, Dr Arun Kumar Maria
Keywords
Related Articles
- EP ID EP375801
- DOI -
- Views 56
- Downloads 0
Lymphoblastic Lymphoma Masquerading as Tuberculous Pleural Effusion
Non-Hodgkin’s lymphoma (NHL) presenting as tuberculous pleural effusion is unusual. We present a case of NHL that was misdiagnosed as tuberculous pleural effusion and was managed with Anti-Tuberculosis Treatment (ATT) dr...
Evaluation of Cause of Death in a Case of Young Adult with Fracture of Femur-Shock Kidney
Here, we are reporting a case of a male person aged about 28 years who met with an accident due to skid of his bike and had fracture of shaft of left femur in the middle 1/3rd. While undergoing treatment patient died and...
Granulomatous mastitis masquerading as breast carcinoma
Granulomatous mastitis is a rare inflammatory disease of the breast with no known etiology. It presents most commonly with a palpable mass and erythematous skin. Often, the initial diagnosis offered clinically is breast...
The clinical enigma of a Midfacial Destructive lesion
Abstract:Midfacial destruction is a rare presentation of various neoplastic, autoimmune and infective disorders. Here we present a rare case of a Midfacial destructive lesion in a young patient with xerodermapigmentosum,...
Diagnosis Error in A Young Lady: Breach Of The Contract Law
Diagnostic errors as part of medical errors are not uncommon; but some of them are unacceptable because of their lethal consequences. Thorough clinical examination along with paraclinical investigations could help minimi...