Spontaneous heterotopic triplet pregnancy with bilateral tubal ectopic: A rare case report and review of literature
Journal Title: International Journal of Medical and Health Research - Year 2019, Vol 5, Issue 4
Abstract
Background: Heterotopic Pregnancy is a rare incidence in natural uninduced pregnancy, presenting about 1/30000 live deliveries. With onset of artificial reproductive techniques and ovulation induction, the overall incidence of heterotopic pregnancy has ascend to approximately 1 in 3900 pregnancies. Other risk factors include a history of pelvic inflammatory disease, tubal damage, pelvic surgeries, mullerian duct abnormality and prior tubal surgery. Case report: We report a rare case of spontaneous Heterotopic triplet pregnancy in which an ectopic pregnancy in each tube with a single intrauterine gestation. Patient also gave birth to triplet female child by LSCS 6 year back. Conclusion: Heterotopic pregnancy can be a life threatening condition and can be easily missed. Heterotopic pregnancy should be suspected in patients with an adnexal mass, even in absence of risk factors. A high index of suspicion in women is needed for early and timely diagnosis and management with laparotomy or laparoscopy can result in a favorable and successful obstetrical outcome.
Authors and Affiliations
Swati Kochar, Ankur Nama, Neha Suthar, Arun Kumar, Priyanka Gaur
Keywords
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