title: Spontaneous Heterotopic Triplet Pregnancy With Tubal Rupture: A Case Report and Literature Review.
abstract: The recent increase in heterotopic pregnancies has been largely attributed to the increased use of assisted reproduction technologies. We report the rare case of a multiparous woman with a spontaneous conception resulting in a triplet heterotopic pregnancy: a twin intrauterine pregnancy and a single right tubal ectopic pregnancy. Heterotopic pregnancy is a rare and potentially life-threatening condition in which simultaneous gestations occur at 2 or more implantation sites. It is infrequent in natural conception cycles, occurring in 1:30 000 pregnancies. However, the prevalence is rising with the increased use of assisted reproduction techniques to that of 1:100 to 1:500 in these patient subgroups, highlighting the need to incorporate it into a clinician's diagnostic algorithm.
authors.affiliation: Royal Women's Hospital, Melbourne, Victoria, Australia.
authors.forename: Lima
authors.initials: L
authors.lastname: Arsala
authors.affiliation: Latrobe Regional Hospital, Traralgon, Victoria, Australia.
authors.forename: Dennis
authors.initials: D
authors.lastname: Danso
keywords: ectopic pregnancy; heterotopic pregnancy; laparoscopy; transvaginal ultrasound