title: Spontaneous triplet, tubal ectopic gestation.
abstract: 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.
authors.affiliation: Memorial Hospital of Converse County, Douglas WY 82633, USA. o.nwanodi@juno.com
authors.forename: Oroma
authors.initials: O
authors.lastname: Nwanodi
authors.forename: Robert
authors.initials: R
authors.lastname: Berry
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D005260:Female; D006801:Humans; D011247:Pregnancy; D011261:Pregnancy Trimester, First; D011274:Pregnancy, Tubal / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D018570:Risk Assessment; D012307:Risk Factors; D012489:Salpingostomy; D013997:Time Factors; D014310:Triplets; D014463:Ultrasonography