Heterotopic Triplet Pregnancy after Double Frozen Embryo Transfer
Resulting in Delivery of Healthy Twins at Term: A Case Report

Firas      Al-Rshoud; Tamara      Darwish; Rami      Kilani; Lina      Almahmoud; Emad Aldeen      AL-Sharua

doi:10.2174/1573404819666221125145304

Abstract

Background: Sonographic visualization of intrauterine pregnancy after multiple embryo transfers does not preclude the coexistence of an ectopic pregnancy, which should be excluded routinely. Heterotopic pregnancy carries high morbidity and mortality. Therefore, it needs high index of suspicion to diagnose and manage accordingly.

Case Presentation: Our case reports a 39-year-old woman who presented with heterotopic triplet pregnancy at 5 weeks and 5 days of gestation. It resulted in a successful delivery of intrauterine monozygotic twins at 37 weeks. This pregnancy is an outcome of ICSI treatment due to low ovarian reserve. Only two embryos were obtained through the protocol and double frozen embryo transfer was done afterwards. Tubal pregnancy was successfully managed expectantly.

Conclusion: Our case highlights the importance of early surveillance and close monitoring of patients undergoing multiple embryo transfers. Thus, keeping the possibility of heterotopic pregnancy in mind after ART cannot be over-emphasized.

Graphical Abstract

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DOI https://dx.doi.org/10.2174/1573404819666221125145304	Print ISSN 1573-4048
Publisher Name Bentham Science Publisher	Online ISSN 1875-6581

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Heterotopic Triplet Pregnancy after Double Frozen Embryo Transfer Resulting in Delivery of Healthy Twins at Term: A Case Report

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