Marshal77 Marshal GB. Case of ruptured tubal gestation associated with twin pregnancy in uterus. J Obstet Gynaecol 1903;4:448-450. Doi: 10.1111/j.1471-0528.1903.tb11815.x https://doi.org/10.1111/j.1471-0528.1903...
|
1903 |
30 |
± 15.5 |
Pain in the lower abdomen; swollen abdomen; pallor; vomiting; Tachycardia |
———– |
Yes |
Hysterectomy |
Mother and children have died |
Selo-Ojeme and GoodFellow44 Selo-Ojeme DO, GoodFellow CF. Simultaneous intrauterine and ovarian pregnancy following treatment with clomiphene citrate. Arch Gynecol Obstet 2002;266(04):232-234. Doi: 10.1007/s004040100213 https://doi.org/10.1007/s004040100213...
|
2002 |
27 |
7 |
Abdomen tenderness; Tachycardia |
Intrauterine pregnancy with a crown rump length of 10 mm. The right ovary was normal. The left ovary was enlarged and contained a 33 mm cyst |
Yes |
Emergency laparoscopy surgery |
Spontaneous vaginal delivery at 39 weeks |
Pan et al.1212 Pan HS, Chuang J, Chiu SF, et al. Heterotopic triplet pregnancy: report of a casewith bilateral tubal pregnancy and an intrauterine pregnancy. Hum Reprod 2002;17(05):1363-1366. Doi: 10.1093/humrep/17.5.1363 https://doi.org/10.1093/humrep/17.5.1363...
|
2002 |
38 |
5-7 |
Lower abdominal-pelvic pain, nausea, tenesmus, vaginal bleeding |
Bilateral multicystic ovaries with accumulation of fluid in cul-de-sac |
Yes |
Salpingectomy by laparotomy |
Delivery at term |
Bugatto et al.55 Bugatto F, Quintero-Prado R, Kirk-Grohar J, Melero-Jiménez V, Hervías-Vivancos B, Bartha JL. Heterotopic triplets: tubal ectopic and twin intrauterine pregnancy. A review of obstetric outcomes with a case report. Arch Gynecol Obstet 2010;282(06):601-606. Doi: 10.1007/s00404-010-1577-z https://doi.org/10.1007/s00404-010-1577-...
|
2010 |
28 |
12 |
Abdominal pain in the left iliac region |
Intrauterine two pregnancy with a crown rump length of 48 e 53 mm. The third gestational sac of 28mm could also be observed in the left uterine adnexa |
No |
Salpingectomy by laparotomy |
Delivery by cesarean at 31 weeks |
Basile et al.11 Basile F, Di Cesare C, Quagliozzi L, et al. Spontaneous heterotopic pregnancy, simultaneous ovarian, and intrauterine: a case report. Case Rep Obstet Gynecol 2012;2012:509694. Doi: 10.1155/2012/509694 https://doi.org/10.1155/2012/509694...
|
2012 |
28 |
7 |
Lower abdominal-pelvic pain |
The intrauterine gestational sac according to 7 weeks of pregnancy, in addition, there was a left ovarian mass suggestive of an ectopic pregnancy |
Yes |
laparoscopy surgery |
viable pregnancy, at 3rd trimester |
Alsunaidi1414 Alsunaidi MI. An unexpected spontaneous triplet heterotopic pregnancy. Saudi Med J 2005;26(01):136-138
|
2005 |
42 |
8 |
Abdominal pain, tachycardia |
Hemoperitoneum, latero-uterine sac with 2 yolk sacs |
Yes |
Salpingectomy by laparotomy |
She delivered a healthy girl at 39 weeks |
Cholkeri-Singh and LaBarge1111 Cholkeri-Singh A, LaBarge A. Spontaneous heterotopic triplets: a case report. Fertil Steril 2007;88(04):968.e5-968.e7. Doi: 10.1016/j.fertnstert.2006.12.034 https://doi.org/10.1016/j.fertnstert.200...
|
2007 |
30 |
5,5 |
Abdominal pain, nausea and vomiting |
Hemoperitoneum, ovary not viewed |
Yes |
Salpingostomy by laparoscopy |
Cesarean section with healthy twins at 34 weeks |
Simsek et al.1515 Simsek T, Dogan A, Simsek M, Pestereli E. Heterotopic triplet pregnancy (twin tubal) in a natural cyclewith tubal rupture: case report and review of the literature. J Obstet Gynaecol Res 2008;34 (4 Pt 2):759-762. Doi: 10.1111/j.1447-0756.2008.00921.x https://doi.org/10.1111/j.1447-0756.2008...
|
2008 |
37 |
9 |
Diffuse lower abdominal tenderness, peritoneal irritation |
Hemoperitoneum, latero-uterine gestational sac |
Yes |
Salpingectomy by laparotomy (twin tubal pregnancy) |
Delivery at term |
Jeong et al.1616 Jeong HC, Park IH, Yoon YS, et al. Heterotopic triplet pregnancy with bilateral tubal and intrauterine pregnancy after spontaneous conception. Eur J Obstet Gynecol Reprod Biol 2009;142 (02):161-162. Doi: 10.1016/j.ejogrb.2008.10.013 https://doi.org/10.1016/j.ejogrb.2008.10...
|
2009 |
34 |
6 |
Skin pallor, distended abdomen, hypotension, tachycardia |
Hemoperitoneum, right hypoechoic cyst |
Yes |
Bilateral Salpingostomy by laparoscopy |
Evacuation of intrauterine gestational sac by dilatation and curettage |
Arsala and Danso1717 Arsala L, Danso D. Spontaneous heterotopic triplet pregnancy with tubal rupture: a case report and literature review. J Investig Med High Impact Case Rep 2014;2(02):2324709614531556. Doi:10.1177/2324709614531556 https://doi.org/10.1177/2324709614531556...
|
2014 |
27 |
4 |
Tachycardia, abdominal pain, with distended abdomen |
Hemoperitoneum, latero-uterine gestational sac with heart activity |
Yes |
Salpingostomy by laparoscopy |
At day 8, a single continuing viable intrauterine pregnancy and a missed miscarriage of the second twin |
Nguyen-Tran and Toy1818 Nguyen-Tran C, Toy EC. Case 3: obstetrical. Heterotopic pregnancy: viable twin intrauterine pregnancy with a viable right tubal ectopic pregnancy. J Ultrasound Med 2000;19(05):355
|
2000 |
? |
? |
? |
Latero-uterine gestational sac with heart activity |
? |
Salpingectomy |
She delivered healthy twins at term |