40 y/o female with 4 children complains of amenorrhea for 3 months. States that she thinks this is early menopause, if she is pregnant she will be “very upset.” Based on this scan, will she be 1x, 2x or 3x “very upset?”
Answer: Monoamniotic triplets, 3x “very upset”
This scan demonstrates three intrauterine fetuses sharing the same gestational sac (mono-amniotic), early second trimester. There is no evidence of free fluid in the pelvis, and all three fetuses have identifiable heart beats.