Document Detail


Dichorionic twins and monochorionic triplets after the transfer of two blastocysts.
MedLine Citation:
PMID:  20665238     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To describe a unique case of MZ dichorionic twins and MZ monochorionic triplets in a quintuplet gestation after intracytoplasmatic sperm injection (ICSI) and blastocyst transfer.
METHODS: Case report. A 24-year-old woman underwent ICSI and received two blastocysts transferred. A quintuplet gestation was established .Transvaginal ultrasonography was performed sequentially during early pregnancy.
RESULTS: Three intrauterine gestational sacs were revealed at about 5th week. At the 7th week, five gestational sacs presenting heart beats were detected and a quintuplet pregnancy consisting of two monozygotic (MZ) dichorionic twins and three MZ monochorionic triplets was determined. At the 10th week, a single gestational sac with heart beats was detected. The prenatal course was uneventful. A healthy baby was born at 36th week.
CONCLUSION: Few other reports have described the occurrence of a quintuplet gestation after the transfer of two blastocysts generated by ICSI. Our case is unique in that the two blastocysts underwent two different splitting processes, which occurred possibly at a similar time giving rise to MZ dichorionic twins and MZ monochorionic triplets.
Authors:
Marcelo Ferreira; Adriana Bos-Mikich; Marcos Höher; Nilo Frantz
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Publication Detail:
Type:  Case Reports; Journal Article; Twin Study     Date:  2010-07-28
Journal Detail:
Title:  Journal of assisted reproduction and genetics     Volume:  27     ISSN:  1573-7330     ISO Abbreviation:  J. Assist. Reprod. Genet.     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-10-28     Completed Date:  2011-02-04     Revised Date:  2011-09-13    
Medline Journal Info:
Nlm Unique ID:  9206495     Medline TA:  J Assist Reprod Genet     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  545-8     Citation Subset:  IM    
Affiliation:
Nilo Frantz Research and Human Reproduction Center, Porto Alegre, RS, Brazil.
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MeSH Terms
Descriptor/Qualifier:
Adult
Embryo Transfer / methods*
Female
Gestational Sac / ultrasonography*
Humans
Pregnancy
Pregnancy Outcome
Sperm Injections, Intracytoplasmic
Triplets*
Twins*
Ultrasonography, Prenatal
Comments/Corrections

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