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Spontaneous triplet, tubal ectopic gestation

Oroma Nwanodi1, Robert Berry

  • 1Memorial Hospital of Converse County, Douglas WY 82633, USA. o.nwanodi@juno.com

Journal of the National Medical Association
|June 17, 2006
PubMed

Only six cases of spontaneous, unilateral, triplet ectopic gestations have previously been reported. We now present a seventh case. The patient's prior obstetrical history was significant for a term stillbirth and a term cesarean section for breech. Quantitative betahCG was normal for gestational age; however, the increased trophoblastic mass of an inappropriately implanted multiple gestation may produce sufficient betahCG to mimic an intrauterine singleton gestation. Resolution was achieved via salpingostomy. This case is significant for being spontaneously conceived and not the result of assisted reproductive technologies. Furthermore, this case supports an association between prior cesarean section and ectopic gestation.

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