Spontaneous Unilateral Triplet Interstitial Ectopic Gestation: A Case Report

Background: Unilateral multiple ectopic gestations are very rare, and usually associated with in vitro fertilization as has been reported in studies.Unilateral twin ectopic gestation occurs in about 1 in 200 ectopic gestations.Unilateral triplet ectopic gestation is even more rare.Case presentation: She was a 41-year-old G9 P4+4 (all alive), who presented to us with ruptured left interstitial ectopic gestation.Pregnancy was spontaneously conceived.Intraoperative findings included haemoperitoneum of 500 ml and triplet gestational sacs with a ruptured left interstitium.The right fallopian tube and both ovaries were grossly normal.She subsequently had left cornual wedge resection for ruptured left interstitial triplet ectopic gestation.Estimated blood loss at surgery was 400 ml. Conclusion:The maternal morbidity and mortality associated with ectopic gestation can be mitigated by prevention and prompt treatment of pelvic inflammatory disease, provision of safe abortion and family planning services, early hospital presentation, a high index of suspicion by the attending physician, presence of diagnostic facilities, functional blood bank services and a standard operating theatre.