Fetus papyraceous: A rare cause for obstruction to spontaneous placental expulsion

Department of OBGYN, Jawaharlal Nehru Medical College, Belgaum, Karnataka, India, .
Archives of Gynecology (Impact Factor: 1.36). 02/2009; 279(6):945-7. DOI: 10.1007/s00404-009-0930-6
Source: PubMed


Fetus papyraceous is a mummified compressed fetus occurring in association with a viable twin. Incidence of this rare condition is 1 in 12,500 cases of twins. We report a case of fetus papyraceous which caused obstruction to spontaneous expulsion of placenta. Antenatal diagnosis by ultrasound examination is not always possible. Careful exploration of placenta after delivery is recommended. Diagnosis of this condition helps in evaluation of risk to surviving fetus as well as registration and documentation of this rare condition.

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    • "Ultrasound scan is invaluable in the diagnosis of twin pregnancy and its complication.[9] The failure of serial ultrasound scan to detect fetuses papyraceous in the index case has also been reported elsewhere.[1011] This is thought to be due to anatomical position and technical difficulties.[10] "
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    ABSTRACT: Fetus papyracie in a triplet pregnancy is indeed rare and can pose serious management challenges. These challenges are more pronounced where facilities for monitoring are either inadequate or nonexistent. A 39-year-old, grand multipara multipara was referred to the University of Maiduguri Teaching Hospital at 27 weeks gestation with preterm contractions. Materno fetal monitoring did not reveal the cause of the preterm contractions. She was delivered via caesarean section, at 36 weeks of gestation, on account of decreased fetal movement and the products were a live female fetus weighing 2.3 kg and two male papyraceous fetuses weighing 150 g and 130 g, respectively.
    11/2013; 3(Suppl1):S13-S15. DOI:10.4103/2141-9248.121210
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    ABSTRACT: We report a case of a 2-week-old white female who presented with large stellate atrophic skin defects on bilateral thighs and knees at birth. The pregnancy was complicated by the death of monozygotic twin at the 16th week of gestation. This represents aplasia cutis congenita with fetus papyraceus. This rare condition is defined as the congenital skin defect and intrauterine death of fetus with or without a stillborn fetus pressed flat by the growing twin (fetus papyraceus) at delivery time. Aplasia cutis congenita coexisting with fetus papyraceus has a distinctive and reproducible distribution pattern of bilateral symmetrical truncal, buttock, and thigh lesions related to fetal death during the late first to early second trimester. There are at least 44 reported cases of this disorder in the English literature. We discuss our case and review the literature.
    International journal of dermatology 12/2012; 51(12):1419-26. DOI:10.1111/j.1365-4632.2012.05545.x · 1.31 Impact Factor
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