Heterotopic triplet pregnancy after in vitro fertilization and intracytoplasmatic sperm injection complicated with ovarian hyperstimulation syndrome single twin fetal demise and cervical incompetence: a successful obstetrical outcome

A Rapi,A Vlachioti,G Tsanadis,I Korkontzelos,P Mavridou,T Stefos

doi:10.12891/ceog4912.2019

Abstract

Spontaneous heterotopic triplet pregnancy (HTP) was formerly considered to be extremely rare. Recently, the broad use of assisted reproductive techniques to assist infertile couples, has contributed to the constant rise of non-spontaneous heterotopic triplets. A case of 38-year-old woman who underwent in vitro fertilization (IVF) and intracytoplasmatic sperm injection (ICSI) is presented. A series of complications appeared and were treated successfully. Although this situation could be life threatening and should alert the medical community, misdiagnosis is still present. The clinicians need to be aware that after IVF procedures, one or more complications might occur. In those cases, early diagnosis and surgical or conservative intervention is of paramount importance.

Highlights

The authors report a case of an heterotopic triplet pregnancy (HTP) after in vitro fertilization (IVF) and intracytoplasmatic sperm injection (ICSI) complicated by ovarian hyperstimulation syndrome (OHSS) and fetal demise of the second twin
The present case report confirms the importance of the early diagnosis of Heterotopic pregnancy (HP) for a successful obstetrical outcome
The authors found only one similar report with heterotopic triplets complicated by OHSS following IVF, where it is noted that enlarged ovaries and free fluid in the abdominal cavity could mask early accurate diagnosis [8]

Summary

Case Report

Heterotopic triplet pregnancy after in vitro fertilization and intracytoplasmatic sperm injection complicated with ovarian hyperstimulation syndrome single twin fetal demise and cervical incompetence: a successful obstetrical outcome. A case of 38-year-old woman who underwent in vitro fertilization (IVF) and intracytoplasmatic sperm injection (ICSI) is presented. A series of complications appeared and were treated successfully. This situation could be life threatening and should alert the medical community, misdiagnosis is still present. The clinicians need to be aware that after IVF procedures, one or more complications might occur. In those cases, early diagnosis and surgical or conservative intervention is of paramount importance

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