Overview
A case report from Indira IVF describes a woman whose IVF cycle produced identical twins inside the uterus and a third, ectopic pregnancy at the corner of the uterus. Keyhole surgery at 6 to 7 weeks removed the ectopic pregnancy, and the twins were delivered healthy at 36 weeks.
Based on: Bhoi NR, Chandra V, Murdia K, Kawad K. "Successful Management of Triplet Heterotopic Pregnancy (Interstitial) With an Intrauterine Monochorionic Diamniotic Twin Pregnancy Through Laparoscopy: A Case Report." Cureus, 2023;15(4):e37249. Case managed at Indira IVF, India.
Table of Contents
Study at a Glance
Item | Details |
|---|---|
Evidence type | Published case report |
Patient | 35-year-old woman with 6 years of infertility, endometriosis, and a large fibroid, in her first pregnancy |
Problem | Triplet heterotopic pregnancy: an ectopic pregnancy at the left corner of the uterus (interstitial) plus identical (monochorionic diamniotic) twins inside the uterus |
Treatment | Laparoscopic removal of the ectopic pregnancy at 6 to 7 weeks, followed by a uterine relaxant and progesterone support |
Main outcome | Cesarean delivery at 36 weeks of two healthy boys weighing 2.2 kg and 2 kg |
Publication | Cureus, 2023 |
DOI | 10.7759/cureus.37249 |
Occasionally, one embryo implants outside the uterus while another grows normally inside it. This is called a heterotopic pregnancy, and it is far more likely after IVF than after natural conception. It can be dangerous for the mother if it goes unnoticed. This report describes a rarer version, in which an ectopic pregnancy appeared alongside identical twins, and how it was found and treated in time.
2 embryos transferred, yet 3 pregnancies developed | 6 to 7 weeks gestation at diagnosis and surgery | 36 weeks gestation at cesarean delivery | 2 boys 2.2 kg and 2 kg, both healthy |