Current Issue Online First Archive Aims ans Scope Abstracting & Indexing Most Accessed Articles Most Downloaded Articles
American Journal of Medical and Clinical Sciences. 2022; 7(2):(67-148)
doi: 10.33425/2832-4226/22007


Spontaneously Conceived Quadruplet with Three Viable Babies & A Papyraceous Fetus: A Case Report

Onyekpa I.J, Odugu B.U, Okafor I.I, Nevo C, Omeke C.A, Ortuanya K, Ofonere C, Udeozor V, Ezeora N, Nwachukwu B.C and Onyekpa C.S

 Download PDF
Abstract
Background: High order multiple gestations are an uncommon occurrence. The incidence of multiple gestation continues to decrease as the number of fetuses increase as calculated using Hellin’s rule: incidence = 1:80n-1 births, where n is the number of fetuses. Thus, the expected incidence of quadruplets is estimated at 1 in 512,000 births. All these have changed with the advent of reproductive technology. However, the occurrence of quadruplets as a natural process has remained rare globally.

Objective: To report a case of a successful spontaneously conceived quadruplet with the death of one of the fetuses and delivery of 3 live fetuses and a twin papyraceous fetus at the 36th week of gestation.

Methods: We report a case of a 28-year-old para-2 woman who had a spontaneous conception resulting in a quadruplet. She had an ultrasound diagnosis of death of one of the fetuses at 25 weeks of gestation. She was admitted twice in the course of the pregnancy and subsequently delivered at the 35th week of gestation.

Results: A successful caesarean delivery of 2 fem ales and 1 male with a male papyraceous fetus.
Most Viewed Article
  • Addition of Lemborexant to Bromazepam Therapy for Chronic Insomnia in a Patient Receiving Tirzepatide for Metabolic Dysfunction-Associated Steatohepatitis: A Longitudinal Observational Study of Sleep Duration and Dream Occurence
    Hsin-Fu Chen, Sheng-Yang Chen, Ting-Wei Chen, Chia-Yu Chou, Hsin-Yu Chen, Tsung-Yi Chen.
    » Abstract » doi: 10.33425/2832-4226/26004

  • Utilisation of Digital Health Technologies for Medical Communication and Healthcare Delivery in Cameroon: Current Use and Evidence Gaps
    Simo Alastair Mope, Ngan Patrick, M. Fomene Jean Vladimir, Moutchia Suh Jude, Kammi Yondjeu Steven.
    » Abstract » doi: 10.33425/2832-4226/26003

  • Severe Adult-Onset Hand, Foot, and Mouth Disease in a Patient with Metabolic Dysfunction-Associated Steatohepatitis: A Case Report of a Family Cluster
    Hsin-Fu Chen, Yin-Chia Chen, Kuan-Lin Huang, Hsin-Yu Chen.
    » Abstract » doi: 10.33425/2832-4226/26002

  • Factors Associated with Mortality from Digestive Hemorrhage at Donka Hospital in Conakry
    Diallo Ahmed Tidiane, Diallo Mamadou Sarifou, Diallo Kadiatou, Diallo Djenabou, Sow Ousmane, Sylla Salifou Marietou, Amadou Camara, Sylla Djibril.
    » Abstract » doi: 10.33425/2832-4226/26001

  • Allergy to Penicillins – Hypersensitivity: Identification, in vivo Testing, Induction of Tolerance
    Luiz Werber-Bandeira, Thiago Luiz Bandeira, Isabela Mansur Bandeira, Aderbal Sabrá, Jose Galvão-Alves, Juliana C M Vasconcellos, Matheus Carvalho Souza Paiva, Yosseline Amira Champang Cedeno, Percy Manuel Garcia Faxas, Wilber Andrés Martinez Cardenas, Nilse Andréia Marcos Manuel, Jorge Leonel Ulloa Brito, Ana Gissell Vanegas Galindo, Antonella Alcivar Kuffo, Aderbal Sabrá-Filho, Selma Sabrá.
    » Abstract » doi: 10.33425/2832-4226/25019

Most Downloaded
  • Addition of Lemborexant to Bromazepam Therapy for Chronic Insomnia in a Patient Receiving Tirzepatide for Metabolic Dysfunction-Associated Steatohepatitis: A Longitudinal Observational Study of Sleep Duration and Dream Occurence
    Hsin-Fu Chen, Sheng-Yang Chen, Ting-Wei Chen, Chia-Yu Chou, Hsin-Yu Chen, Tsung-Yi Chen.
    » Abstract » doi: 10.33425/2832-4226/26004

  • Utilisation of Digital Health Technologies for Medical Communication and Healthcare Delivery in Cameroon: Current Use and Evidence Gaps
    Simo Alastair Mope, Ngan Patrick, M. Fomene Jean Vladimir, Moutchia Suh Jude, Kammi Yondjeu Steven.
    » Abstract » doi: 10.33425/2832-4226/26003

  • Severe Adult-Onset Hand, Foot, and Mouth Disease in a Patient with Metabolic Dysfunction-Associated Steatohepatitis: A Case Report of a Family Cluster
    Hsin-Fu Chen, Yin-Chia Chen, Kuan-Lin Huang, Hsin-Yu Chen.
    » Abstract » doi: 10.33425/2832-4226/26002

  • Factors Associated with Mortality from Digestive Hemorrhage at Donka Hospital in Conakry
    Diallo Ahmed Tidiane, Diallo Mamadou Sarifou, Diallo Kadiatou, Diallo Djenabou, Sow Ousmane, Sylla Salifou Marietou, Amadou Camara, Sylla Djibril.
    » Abstract » doi: 10.33425/2832-4226/26001

  • Allergy to Penicillins – Hypersensitivity: Identification, in vivo Testing, Induction of Tolerance
    Luiz Werber-Bandeira, Thiago Luiz Bandeira, Isabela Mansur Bandeira, Aderbal Sabrá, Jose Galvão-Alves, Juliana C M Vasconcellos, Matheus Carvalho Souza Paiva, Yosseline Amira Champang Cedeno, Percy Manuel Garcia Faxas, Wilber Andrés Martinez Cardenas, Nilse Andréia Marcos Manuel, Jorge Leonel Ulloa Brito, Ana Gissell Vanegas Galindo, Antonella Alcivar Kuffo, Aderbal Sabrá-Filho, Selma Sabrá.
    » Abstract » doi: 10.33425/2832-4226/25019