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Case Report
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| Spontaneous heterotopic triplet pregnancy: Tubal and intrauterine twin gestation | ||||||
| Ebelechukwu Chris Nnoli1, Andrew Lefkovits2, Clark Bruce2 | ||||||
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1MD, Resident Physician, Department of Obstetrics and Gynecology, Albany Medical Center, 16 New Scotland Avenue, Albany, NY, USA.
2MD, Attending Physician, Department of Obstetrics and Gynecology, Albany Medical Center, 16 New Scotland Avenue, Albany, NY, USA. | ||||||
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| How to cite this article |
| Nnoli EC, Lefkovits A, Bruce C. Spontaneous heterotopic triplet pregnancy: Tubal and intrauterine twin gestation. Int J Case Rep Images 2015;6(2):99–102. |
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Abstract
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Introduction:
Although there have been reports of heterotopic pregnancies in published literature, there has not been a documented report, to the best of our knowledge of a spontaneous conception of intrauterine twins along with a tubal ectopic without risk factors.
Case Report: A 29-year-old female with a prior obstetric history of spontaneous intrauterine twins presented with a second spontaneous conception of intrauterine twins along with a tubal ectopic pregnancy. The patient was taken to the operating room after tubal rupture, where the ectopic conceptus was removed laparoscopically without complications. She was discharged the following day to follow-up as an outpatient. At the time of writing, her last prenatal visit at 24 weeks gestation was uncomplicated. Conclusion: Though rare, it is prudent that there be continued awareness of the possibility of a heterotopic pregnancy even in the absence of risk factors especially in a patient with symptoms. When confirmed and the patient is clinically stable, surgical management via laparoscopy is a safe alternative. | |
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Keywords:
Heterotopic pregnancy, Twin gestation, Laparoscopy, Transvaginal ultrasound
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Author Contributions
Ebelechukwu Chris Nnoli – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Andrew Lefkovits – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Clark Bruce – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2015 Ebelechukwu Chris Nnoli et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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