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Fetus papyraceous disguised as compound presentation: A case report
Neeta Timilsina1, Suman Raj Tamrakar1, Sabina Thapaliya1
1Department of Obstetrics and Gynecology, Dhulikhel Hospital, Kathmandu University Hospital, Kavre, Nepal.
Annals of Medicine and Surgery (2012)
|September 23, 2022
Summary
Fetus papyraceous, a rare mummified fetus in multiple pregnancies, can present as compound presentation. This case highlights successful management of incidental fetus papyraceous during normal delivery.
Area of Science:
- Maternal-fetal medicine
- Obstetrics
- Perinatology
Background:
- Fetus papyraceous (FP) is a rare condition in multiple gestation where one fetus mummifies and flattens.
- Compound presentation occurs when a fetal limb is alongside the presenting part, often vertex-arm presentation.
- Both conditions can lead to severe maternal and fetal complications.
Observation:
- This case report details an incidental finding of fetus papyraceous.
- The fetus papyraceous was initially disguised as a compound presentation during a normal delivery.
- The delivery was managed successfully without any complications.
Findings:
- Early identification of fetus papyraceous is crucial.
- Undiagnosed FP can lead to preterm labor, infection, hemorrhage, coagulopathy, and dystocia requiring cesarean birth.
- Regular antenatal chorionicity assessment aids in early diagnosis and reduces adverse outcomes.
Implications:
- Successful management of incidental fetus papyraceous is possible.
- Emphasizes the importance of antenatal screening for multiple gestations.
- Highlights the need for vigilance in diagnosing and managing compound presentations to ensure optimal maternal and fetal outcomes.
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