Fetus papyraceous: a case report of preterm premature rupture of membrane with adherent placenta

Manjula, N.; Sujani, B K; Shetty, Shakila

doi:10.17077/2154-4751.1110

Cited by 3 publications

(9 citation statements)

References 5 publications

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“…The incident of fetus papyraceus is in one out of 12,500 cases. Fetus papyraceus is characterized by the death of one or more fetuses in the early gestational period, while the other fetuses continue to grow [5,6,7] . Other reports stated that the incident of fetus papyraceus is 1:12,000 live births, which ranged between 1:184 and 1:200 twin pregnancies.…”

Section: Discussionmentioning

confidence: 99%

“…Fetus papyraceus was seen to occur more often with monozygotic twin pregnancies than dizygotic twins, but no association was found with maternal age, parity or gravidity. Fetus papyraceus can occur in both uniovular and binovular twins but is more common in uniovular twins [5] . In most cases, the fluid of the death tissue is gradually absorbed, the amniotic fluid disappears, and the fetus is compressed and incorporated into the membranes [5] , but in this case, the patient is admitted with premature rupture membranes.…”

Section: Discussionmentioning

confidence: 99%

“…Fetus papyraceus can occur in both uniovular and binovular twins but is more common in uniovular twins [5] . In most cases, the fluid of the death tissue is gradually absorbed, the amniotic fluid disappears, and the fetus is compressed and incorporated into the membranes [5] , but in this case, the patient is admitted with premature rupture membranes. The degree of compression depends on the period between fetal death and delivery.…”

Section: Discussionmentioning

confidence: 99%

“…Increased risk of fetal death has been associated with the monochorionic placenta, disproportionate sharing of the placenta, and monozygosity. Moreover, the intrauterine fetal death of one twin is found to be associated with serious mortality and morbidity of the surviving twin [5] . Fetal loss of the twin during the first trimester in not an uncommon event and does not appear to impair the development of the surviving twin.…”

Section: Discussionmentioning

confidence: 99%

“…It may also cause damage to high vascularized organs such as the brain and kidney. In the brain, it can cause central nervous system abnormalities, such as encephalomalacia, while in other organs it may cause extra cranial abnormalities such as small bowel atresia, gastroschisis, and aplasia cutis [5,6] . Meanwhile, the maternal complications include preterm labor, infection from the retained fetus, severe puerperal hemorrhage, and consumptive coagulopathy (rarely found in late fetal death) [3] .…”

Section: Discussionmentioning

confidence: 99%

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Successful Conservative Management of Premature Rupture Membranes of Twin Pregnancy with one Fetus Papyraceus

Ketut Edy Sudiarta

2021

Indian Journal of Forensic Medicine & Toxicology

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Fetus papyraceus is a rare obstetrics complication and is characterized by the death of one or more fetuses in the early gestation period, and the other fetus continues to develop. This report describes a twin pregnancy with one fetus papyraceus and both undergone premature membrane rupture. We reported a 25-year-old woman unbooking patient admitted to the Pusura hospital with a complaint of amniotic fluid leaking from the vagina after a traffic accident. The patient is a woman with a history of G2P1A0 at 22-week gestation with twin pregnancies (monochorionic diamniotic twin pregnancy). There was one live fetus with cephalic presentation and the other one was papyraceus. Conservative management with a corticosteroid regimen to complete the lung maturation was done. At 32-week gestation, the patient was admitted back with spontaneous rupture membranes and the live fetus was seen in lie presentation. She underwent a caesarian section and a premature life female baby was delivered with 1800g of weigh, APGAR score of 7 at 1 minute and 8 at 5 minutes. The fetus papyraceus was weighed 100g. Both the mother and the baby were discharged home in good condition. Fetus papyraceus is a rare condition that describes intrauterine fetal demise in early pregnancies. It can occur in both single or multiple gestation pregnancies. This case report reported case is a premature rupture of the membranes caused by a traffic accident. A life baby weighing 1800g was delivered and 100g of weigh of fetus papyraceus in a caesarian section. This case is a diamniotic -monochorionic placenta. Finally, the healthy baby was discharged 18 days after delivery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Successful Conservative Management of Premature Rupture Membranes of Twin Pregnancy with one Fetus Papyraceus

Ketut Edy Sudiarta

2021

Indian Journal of Forensic Medicine & Toxicology

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Fetus papyraceus: a rare case report

Sindan¹,

Bhandari

Baral³

et al. 2020

J Patan Acad Health Sci

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Fetus papyraceus is a rare condition of a mummified and compressed fetus occurring in multiple gestations where one fetus dies in utero and is merged between the uterine wall and the membranes of living fetus. The blood vessels of the placenta of the two fetuses anastomose with each other, a third cycle occurs, causing fetal death (fetal transfer syndrome). Ultrasonography may identify the Fetus papyraceus, but is not always promising due to anatomical location. Cautious supervision is important during pregnancy for its positive outcome. We report a case of fetus papyraceus in Department of Gynecology and Obstetrics, Paropakar Maternity and Women’s Hospital, Kathmandu, Nepal.

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