DOI: 10.36347/sjmcr.2014.v02i09.018

Pages: 635-638

Literature is replete with case reports of heterotopic pregnancy (HP). With IVF, incidence of heterotopic pregnancy increased. Although bilateral ectopic with an intrauterine pregnancy has been reported, there is no report of bilateral ectopic with triplet intrauterine pregnancy in literature so far. Here we report a 25 year old gravida 2 para 1 with previous premature preterm delivery. Present pregnancy was conceived following ovulation induction with 150 mg/day clomiphene citrate. Ultrasonography revealed bilateral ectopic with three intrauterine viable foetuses. An expectant approach was considered appropriate. Five weeks after diagnosis, intrauterine foetuses continued to grow at normal pace while left tubal ectopic resolved. Right tubal ectopic resolved by 20 weeks gestation. The pregnancy was strictly followed up with optimal progesterone support, timely steroid prophylaxis and managed several times for threatened preterm labour. At 33 weeks 3 days, three live babies were delivered by emergency caesarean.