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首页> 外文期刊>Case Reports in Obstetrics and Gynecology >Heterotopic Triplet Pregnancy after In Vitro Fertilization with Favorable Outcome of the Intrauterine Twin Pregnancy Subsequent to Surgical Treatment of the Tubal Pregnancy
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Heterotopic Triplet Pregnancy after In Vitro Fertilization with Favorable Outcome of the Intrauterine Twin Pregnancy Subsequent to Surgical Treatment of the Tubal Pregnancy

机译：输卵管妊娠手术后体外受精的异位三胞胎妊娠与宫内双胎妊娠的良好结果

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Heterotopic triplet pregnancy is an exceptionally rare medical condition. The broad use of assisted reproductive technologies has contributed to the increase of ectopic and subsequently heterotopic pregnancy rate, masking a life-threatening condition for the gravid and the intrauterine pregnancy. We describe a case of a woman with heterotopic triplets at 9+4gestational week following transfer of three embryos obtained by in vitro fertilization techniques. The ectopic tubal pregnancy was ruptured and salpingectomy was performed by laparotomy. The intrauterine pregnancy progressed to the delivery by cesarean section of two healthy twins at 36+2gestational age. Heterotopic triplets with tubal ectopic are a special diagnostic and therapeutic challenge for the obstetrician. High index of suspicion and timely treatment by laparotomy or laparoscopy can preserve the intrauterine gestation with a successful outcome of the pregnancy.
机译：异位三联体妊娠是一种极为罕见的医学疾病。辅助生殖技术的广泛使用促进了异位妊娠和异位妊娠的增加，从而掩盖了妊娠妊娠和宫内妊娠的危及生命的状况。我们描述了在通过体外受精技术获得的三个胚胎转移后，在9 + 4孕周有异位三联体的女性病例。异位输卵管妊娠破裂，并通过剖腹手术进行输卵管切除术。子宫内妊娠进展为在36 + 2胎龄时通过剖宫产分娩了两个健康的双胞胎。异位三联征与输卵管异位对于产科医生是一个特殊的诊断和治疗挑战。高度怀疑的症状并通过剖腹术或腹腔镜及时治疗可以保留子宫内妊娠，并成功妊娠。

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