A fetal death in a multiple pregnancy with one or more normally surviving fetus is unusual. Fetus papyraceous (FP) is a rare obstetric complication in multiple gestations. It is defined as retention of a mummified parchment like remains of a dead fetus in multiple pregnancy associated with a viable twin. It is important to reassure the patient of the normal outcome expected in most of the cases. Herein, we report a rare case of twin FP in a spontaneous triplet pregnancy with a literature review of maternal and neonatal outcomes and management of similar cases.
Intrauterine death, fetus papyraceous, Cesarean section, triplet pregnancy
The authors report no conflict of interest.
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Department of Obstetrics and Gynecology, The University of Iowa Hospitals and Clinics
Abbas AM, Khalaf M, Zakherah MS. Spontaneous triplet pregnancy with twin fetuses papyraeci: A rare case report and review of the literature. POG in Press. 2017 March; Article 3 [ 8 p.]. Available from: http://ir.uiowa.edu/pog_in_press/. Free full text article.