A rare case of fetus papyraceous presenting in monozygotic biamniotic twins
Keywords:Fetal monitoring, Fetus papyraceous, Monochorionic twins, Twin emobolization syndrome
Fetus papyraceous or compresses is characteristic of compressed mummified, parchment like remains of dead twin retained in utero after intrauterine death in the second trimester. It is an uncommon finding and we report in a G2P1L1 with 22 weeks with Monozygoticbiamniotic twins with fetus papyraceous stuck to left upper segment followed up to 36 weeks. The mother was advised regular antenatal visits and frequent feto-maternal monitoring was done. Patient delivered a single live baby and a placenta with mummified fetus within it. The incidence of fetus papyraceous is about 1 in 17000 to 1 in 20000 pregnancies. Early diagnosis of this condition helps in monitoring the surviving fetus.
Donald I. Twins. In: Practical obstetric problems. Lloyd-Luke, London; 1979:359-377.
Fisk NM. Multiple Pregnancy. In: Edmonds DK (ed). Dewhurst’s textbook of obstetrics and gynaecology for postgraduates. Blackwell, Oxford; 1999:298-307.
Bush M, Pernoll ML. Multiple pregnancy. In: DeChe- rney AH, Nathan L (eds). Current obstetric and gyne- cologic diagnosis and treatment. McGraw-Hill, New York; 2003:315-325.
Mittal P, Khanna M. Two papyraceous fetuses in a triplet pregnancy. J Obstet Gynaecol India. 2007;57:77-8.
5. Pattern RM, MackLA, Nyberg DA, Filly RA. Twin embolization syndrome:prenatalsonographic detection and significance.Radiology 1989;173(3):685-689.
Rasheed F, Amjad N. Case report, fetus papyraceus: rarity among rarities. Ann. 2008;14(4):154-5.
Enbom JA. Twin pregnancy with intrauterine death of one twin. Am J Obstet Gynecol. 1985:152:424-9.
Fusi L, Gordon H. Twin pregnancy complicated by single intrauterine death. Problems and outcomes with conservative management. Br J Obstet Gynecol. 1990;97:511-6.
Leppert P, Wartel L, Lowman R. Fetus papyraceous causing dystocia: inability to detect blighted twin antenatally. J Obstet Gynecol. 1979;54:381-3.