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Obstetrics & Gynecology 1981;58:519-521
© 1981 by The American College of Obstetricians and Gynecologists
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TRIPLET PREGNANCY IN UTERUS DIDELPHYS WITH DELIVERY INTERVAL OF 72 DAYS

S. Mashiach, MD, Z. Ben-Rafael, MD, J. Dor, MD and D M Serr, MB, ChB, FRCOG

From the Division of Obstetrics and Gynecology, The Chaim Sheba Medical Center, Affiliated to the Sackler School of Medicine, Tel Aviv University, Tel Hashomer, Israel

Abstract

A unique case of triplet pregnancy in a woman with uterus didelphys is described, with fetuses A and B in the right uterine horn and fetus C in the left horn. Missed abortion of fetus A was diagnosed in the 22nd week of gestation by real-time ultrasonography, but only in the 27th week of gestation did the right uterine horn contract, resulting in expulsion of fetus A. Fetus B was delivered by cesarean section 2 hours later. Fetus C remained in the left uterine horn until the 37th week of gestation, when a viable 2490-g female infant was delivered by cesarean section. Triplet pregnancy occurs with sufficient frequency to be unremarkable; however, triplet pregnancy in a patient with uterus didelphys and with 72 days' lapse between the delivery of the first 2 fetuses and delivery of the third is a rare occurrence. (Obstet Gynecol 58:519, 1981)






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Copyright © 1981 by the American College of Obstetricians and Gynecologists.