General Medicine: Open Access

ISSN - 2327-5146


Fetus Papyraceous in Uniovular Twin; Death of One Twin in Early Third Trimester and Successful Outcome of Other Twin at Term: A Rare Case Report

Hafizur Rahman*, Rashmi Pathak, Swati Dubey, Priyanka Chavan, Barun Kumar Sharma and Ezzat Khalda

Fetus papyraceous is a rare obstetric complication in multiple gestations, the incidence of which in case of twin is 1 in 12,500. It may be associated with high maternal and fetal complications including disseminated intravascular coagulation induced death and organ damage. Fetus papyraceous can occur both in uniovular and binovular twin pregnancies. However intrauterine death is three times more common in case of uniovular twin because of frequency of vascular connections (85-98%) in monochorionic placenta. Here, we report a case of uniovular twin pregnancy with one twin fetus papyraceous in early third trimester and pregnancy continued till term with a successful outcome of surviving co-twin.