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Clinical and Experimental Obstetrics & Gynecology  2019, Vol. 46 Issue (6): 1007-1010    DOI: 10.12891/ceog4912.2019
Case Report Previous articles | Next articles
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
I. Korkontzelos1, *(), A. Vlachioti1, P. Mavridou2, A. Rapi1, G. Tsanadis3, T. Stefos3
1Department of Obstetrics and Gynecology, Ioannina State General Hospital "G. Chatzikosta", Ioannina, Greece
2Department of Anesthesiology, Ioannina State General Hospital "G. Chatzikosta", Ioannina, Greece
3Department of Obstetrics and Gynecology, University Hospital of Ioannina, Ioannina, Greece
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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.

Key words:  Heterotopic triplet pregnancy      In vitro fertilization      Ovarian hyperstimulation syndrome      Vaginal ultrasound     
Published:  10 December 2019     
*Corresponding Author(s):  I. KORKONTZELOS     E-mail:  i.korkontzelos@yahoo.com

Cite this article: 

I. Korkontzelos, A. Vlachioti, P. Mavridou, A. Rapi, G. Tsanadis, T. Stefos. 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. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 1007-1010.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog4912.2019     OR     https://ceog.imrpress.com/EN/Y2019/V46/I6/1007

[1] T.N. Yu, Y.L. Liu, Y.X. Lee, C.R. Tzeng, C.H. Chen. Vibration-related ovarian torsion in a patient undergoing in vitro fertilization: A case report[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(3): 415-418.
[2] T. Hasegawa, K. Nakagawa, R. Sugiyama, N. Kuji, H. Nishi. Separate transfer of two frozen-thawed embryos reduces multiple gestations in assisted reproductive technology[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(2): 215-219.
[3] S. J. Knight, A. D. Smith, H. Kim, A. C. Collier. Human placental suppressors of cytokine signalling (SOCS) and inflammatory cytokines are dysregulated in assisted reproduction, advanced maternal age and pre-term birth[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(2): 277-286.
[4] M. Minase, T. Miyamoto, N. Hayashi, G. Minase, K. Nishiwaki, K. Sengoku. A patient with a didelphys vaginal septum and infertility diagnosed by laparoscopy and magnetic resonance imaging[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 988-989.
[5] J.H. Check, C. Dietterich, M. Lowney, V. Sapoznikov, R. Difilippo, J. Giangreco, K. Clarkson. Adjusting progesterone (P) dosage to compensate for a non-homogeneous hyperechogenic (HH) echo pattern three days after embryo transfer[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(3): 356-358.
[6] Turgut Aydin, Huseyin Aksoy, Ozge Idem Karadag, Ulku Aksoy, Elif Cinar. A comparative study on therapeutic outcomes and clinical implications of transvaginal and transabdominal guidance during embryo transfer[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(6): 823-827.
[7] M.M. Khadra, M.A. Freij, Z.A. Al-Mazaydeh, S.E. Al-Mashhrawi, B.O. Rahhal, S.S. Saleh, R.M. Kilani, L.H. Tahtamouni. Factors influencing successful pregnancy outcomes in IVF cycles among Jordanian infertile couples[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(6): 855-860.
[8] Hui-Dong Li, Zhi-Kun Zhang, Shuang Guo, Peng-Peng Qu. The application of contrast-enhanced ultrasound in the diagnosis of cesarean scar pregnancies[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(5): 731-734.
[9] K. Lachowski, M. Lachowska, D. Paluszyńska, B. Królak-Olejnik. Two-headed twin in a triplet pregnancy after in vitro fertilization – A case report and review of the literature [J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(5): 782-786.
[10] Haining Luo, Kun Yang, Ying Han, Yunshan Zhang. A case report of clinical pregnancy in which oocyte retrieval was carried out in the early follicular phase of the menstrual cycle[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(4): 629-631.
[11] J. Popovic, M. Stefanovic, S.P. Trajkovic Dinic, V. Antic, M. Trenkic. Recurrent endometriosis and IVF: is it still an enigma?[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(3): 410-413.
[12] M. Karacan, A. Usta, A. Arvas, E. Erdem, M. Ulug, Z. Cebi, T. Camlibel. The effect of coasting on the outcome of intracytoplasmic sperm injection: comparable analysis of GnRH agonist and antagonist cycles[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(1): 48-52.
[13] Lei Yan, Bing-Qian Zhang, Xin-Xin Xu, Zhen Xu, Ting Han, Xiu-Ling Fan, Zi-Jiang Chen. Pregnancy outcomes after fresh-D3 versus frozen-D5 embryo transfer in women with an ectopic pregnancy history: a retrospective cohort study[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(1): 58-62.
[14] S. Rakic, N. Zecevic, S. Jankovic-Raznatovic, M. Vasiljevic, R. Anicic. Obstetric and neonatal outcomes in women aged 40 years or older after in vitro fertilization[J]. Clinical and Experimental Obstetrics & Gynecology, 2017, 44(2): 208-215.
[15] F. Yang, H. Hu, P.Z. He, M. Zhang, Y. Qian, Y. Li. Severe ovarian hyperstimulation syndrome in a naturally conceived singleton pregnancy after ovulation induction: a case report[J]. Clinical and Experimental Obstetrics & Gynecology, 2017, 44(2): 292-295.
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