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Obstetrics & Gynecology 1978;51:46
© 1978 by The American College of Obstetricians and Gynecologists
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Fetus Papyraceus in Twin Pregnancy

ELIEZER J. LIVNAT, MD, LAURENCE BURD, MD, FACOG, ALLAN CADKIN, MD, PACITA KEH, MD and ANNE B. WARD, MD

From the Departments of Obstetrics and Gynecology, Radiology, and Pathology at Michael Reese Hospital and Medical Center, University of Chicago, Pritzker School of Medicine, Chicago, Illinois.

Abstract

Three cases of fetus papyraceus in twin pregnancy were seen over a 4-month period. They were associated with an antepartum stillbirth and intrauterine growth retardation of the larger twin. Two of the 3 mothers exhibited hypertension. It is concluded, therefore, that the appearance of a fetus papyraceus frequently indicates the presence of a hostile intrauterine environment. We suggest that serial ultrasonic examinations be performed to confirm the diagnosis of fetus papyraceus. In this way, appropriate therapy may be directed toward a better outcome for the second twin.






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Copyright © 1978 by the American College of Obstetricians and Gynecologists.