Ramírez AL, Nieto GLA, Cerón SMÁ, Cerda LJA

Language: Spanish
References: 12
Page: 408-411
PDF size: 151.00 Kb.

ABSTRACT

The term fetus papyraceus is used to describe a mummified fetus associated to a multi-fetal gestation. We present the case of a of 20 years old patient who entered under the diagnosis of pregnancy of 41.1 weeks of gestation by last menstrual period, and effective labor work. It was conducted labor and delivery obtaining a live, male product. The uterine cavity was revised due to suspicion of retention of placenta and/or fetal membranes and it was obtained a product of approximated 15 weeks of gestation; the patient presented uterine atony and postpartum hemorrhage (PPH) quantified in approx 1,500 cc. Therefore it was decided to perform an obstetrical abdominal hysterectomy, which took place without incidents. The patient cursed pathological puerperium and received blood transfusion for 4 U. She was discharged at the 7^th day after surgery. The histopathologic result was fetus papyraceus.

REFERENCES

1. Vargas HVM, Luján IJ, Ibarra GA, Inclán BJ, y col. Feto papiráceo: complicación de un embarazo gemelar. Rev Hosp Jua Mex 2005;72(4): 165-67.

2. Craven C, Ward K. Placental Causes of Fetal Malformation. Clin Obstet Gynecol 1996;39(3):588-606.

3. Peraza TM, O’ Farril GR, Gómez CE. Óbito de un gemelo. Rev Cuba Obstet Ginecol 2000;26(2):115-8.

4. Narula MK, Madan R, Anand R, Siddiqui AZ. Radiological diagnosis: fetus papyraceus. Ind J Radiol Imag 2003;13(3):339-40.

5. Glinianaia SV, Pharoah PO, Wright C, Rankin JM, et al. Fetal or infant death in twin pregnancy: neurodevelopmental consequence for the survivor. Arch Dis Child Fetal Neonatal 2002;86:9-15.

6. Saier F, Burden L, Cavanagh D. Fetus papyraceus: an unusual case with congenital anomaly of the surviving fetus. Obstet Gynecol 1975;45:217-20.

7. Pobrete LA, Carvajal CJ, Ferreira NF, Kushner DL, y col. Embarazo gemelar con un óbito: rescate mediante transfusión intravascular intrauterina. Rev Chil Obstet Ginecol 2004;69(3):239-41.

8. Villalobos N, López C. Síndrome del gemelo muerto. Rev Obstet Venez 2002;62(1):11-15.

9. Rodríguez BI, Reyna VJ, Cura EI, Rodriguez JD, y col. Aplasia cutis congénita y feto papiráceo. Rev Mex Pediatr 1997;64(2):77-79.

10. Pinborg A, Lidegaard O, Freiesleben N, Andersen, Anders N. Consequences of vanishing twins in IVF/ICSI pregnancies. Hum Reprod 2005;20(10):2821-29.

11. Sutkin G, Mamlok V. Images in clinical medicine: fetus papyraceus. N Eng J Med 2004;350(16):1665.

12. Leppert PC, Wartel L, Lowman R. Fetus papyraceus causing dystocia: inability to detect blighted twin antenatally. Obstet Gynecol 1979;54:381-3.