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Dichorionic twins and monochorionic triplets after the transfer of two blastocysts

  • Assisted Reproduction
  • Published:
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Abstract

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.

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Authors and Affiliations

  1. Nilo Frantz Research and Human Reproduction Center, Porto Alegre, RS, Brazil, CEP:90.480-003

    Marcelo Ferreira, Marcos Höher & Nilo Frantz

  2. Department of Morphological Sciences, ICBS, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil, CEP: 90.050-170

    Adriana Bos-Mikich

Authors
  1. Marcelo Ferreira
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  2. Adriana Bos-Mikich
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  3. Marcos Höher
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  4. Nilo Frantz
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Corresponding author

Correspondence to Adriana Bos-Mikich.

Additional information

Capsule A case is reported on the birth of MZ dichorionic twins and monochorionic triplets after ICSI and embryo transfer.

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Ferreira, M., Bos-Mikich, A., Höher, M. et al. Dichorionic twins and monochorionic triplets after the transfer of two blastocysts. J Assist Reprod Genet 27, 545–548 (2010). https://doi.org/10.1007/s10815-010-9446-z

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  • DOI: https://doi.org/10.1007/s10815-010-9446-z

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