A rare case of fetus papyraceous presenting in monozygotic biamniotic twins

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.

Feto papiráceo en embarazo gemelar a término obtenido por cesárea / Fetus papyraceus in twin pregnancy obtained by cesarean

El feto papiráceo es un feto aplanado y momificado, sin cambios externos, se presenta en embarazo gemelar o múltiple, es de causa desconocida. Las causas de muerte ipueden ser fetales, ovulares y materna. Complicaciones: en la madre es coagulación intravascular diseminada y en el feto sobreviviente puede presentar Aplasia Cutánea Csongénita, disgenesia renal y atresia intestinal. Paciente de 42 años, con embarazo de 38 semanas, cesárea iterativa, diabetes gestacional no controlada, se realiza un manejo conservador con ecografías seriadas y control de laboratorio. Para la culminación del embarazo: cesárea bajo anestesia raquídea, recién nacido de sexo masculino, alumbramiento de placenta más feto papiráceo. En conclusión, manejo individual con control ecográfico seriado del feto sobreviviente, realizar ecografía Doppler, medir el volumen del líquido amniótico, perfil biofísico y control de los factores de riesgo modificables materno, para tomar una conducta optima y adecuada para la culminación del embarazo

The papyraceus fetus is a flat and mummified fetus, without external changes, it occurs in twin or multiple pregnancy, of unknown cause. Intrauterine death both fetal, ovular and maternal. Complications: in the mother it is disseminated intravascular coagulation and in the surviving fetus may present Congenital Cutaneous Aplasia, renal dysgenesis and intestinal atresia. A 42-year-old patient, with a 38-week pregnancy, iterative cesarean section, uncontrolled gestational diabetes, conservative management with serial ultrasound and laboratory control. For the culmination of pregnancy: caesarean section under spinal anesthesia, male newborn, delivery of placenta plus papiraceous fetus. In conclusion, individual management with serial ultrasound control of the surviving fetus, perform Doppler ultrasound, measure the volume of amniotic fluid, biophysical profile and control of maternal modifiable risk factors, to take an optimal and adequate behavior for the culmination of pregnancy

Fetus Papyraceous in a Twin Pregnancy: A Case Report.

Fetus papyraceous or compress is the compressed, mummified, parchment-like remains of a dead twin, which is retained in utero after intrauterine death in the second trimester. It is an uncommon finding. The incidence of fetus papyraceous is reported as 1 in 17,000 to 1 in 20,000 pregnancies. Incidence of fetus papyraceous in twin pregnancy is 1 in 184 to 1 in 200 pregnancies. Here we report a case of fetus papyraceous in a twin pregnancy with no adverse effects on mother.

An Unusual Association of Aplasia Cutis Congenita with Twin Pregnancy and Maternal Varicella.

We report an unusual case of aplasia cutis congenita associated with twin pregnancy and history of maternal varicella in first trimester, occurring over the extremity of one of the twins while other twin was perfectly normal.

Vanishing twin, natures choice.

A surprising finding at emergency Caesarean Section of an empty sac, along with fetus & placenta , was observed. Retrospectively, when USG reports were reviewed it was a case of Vanishing Twin after 20 wks of gestation. This syndrome is diagnosed more frequently since the use of USG has become a common investigation. Probably the twin which vanishes may be chromosomally abnormal. Prognosis of the surviving twin is generally excellent but depends on the etiology of the death of the dead twin.

Delayed Diagnosis of Fetus Papyraceous with Microcephaly of Surviving Co-Twin.

Fetus papyraceous is a relatively rare complication in twin pregnancy. Ultrasound detection is not always possible due to anatomical position and technical difficulties. It is very important to make a diagnosis in time to prevent severe complications.

Mummified papyraceous fetuses in the abdominal cavity of an elderly female dog with pyometra / Fetos papiráceos em cavidade abdominal de fêmea canina idosa acometida por piometra

This paper reports on a rare case of fetal papyraceous mummification after asymptomatic uterine rupture in an elderly female dog with pyometra. The patient had a history of mating six months before the examination but no apparent signs of gestation or parturition. Exploratory laparotomy was used to identify a rupture of the left uterine horn and the presence of cystic endometrial hyperplasia and pyometra. Two mummified papyraceous fetuses were observed in the abdominal cavity and had adhered to the spleen, pancreas, intestine and omentum. Ovariehysterectomy and corrective surgery were performed. The patient had remained healthy after uterine rupture until a new estrous cycle and the development of pyometra. Bitches that are 10 years old or more are predisposed to implantation failure, pregnancy or parturition problems and they should not be breed to avoid complications.

Relatou-se um caso raro de mumificação fetal papirácea após ruptura uterina assintomática em uma cadela idosa, acometida por piometra. A paciente apresentava histórico de cópula seis meses antes do exame clínico, sem sinais de gestação ou parturição. Na laparotomia exploratória identificaram-se ruptura do corno uterino esquerdo e presença de hiperplasia endometrial cística e piometra. Foram identificados dois fetos mumificados papiráceos na cavidade abdominal, aderidos ao baço, pâncreas, alças intestinais e omento. Realizou-se ovarioisterectomia e cirurgia corretiva. A paciente manteve-se compensada após ruptura uterina, até início de um novo ciclo estral e desenvolvimento de piometra. Cadelas idosas são predispostas à falha na implantação embrionária, problemas durante gestação e parturição, e devem ser excluídas da reprodução para evitar complicações.