Unraveling the Mystery: Foetus Papyraceus, an Extraordinary Phenomenon
– Fetus papyraceus
– Rare condition
– Compressed in-utero
– Resorption or paper thin
– Increased incidence with assisted reproductive techniques (ART)
– High morbidity and mortality for mother and fetus
– Incidence: 1 in 12,000 pregnancies
– Incidence in twin pregnancies: 1 in 190
– Can occur in monozygotic or dizygotic twins
– Associated with ovulation induction or in vitro fertilization
– Associated complications: pre-eclampsia, disseminated intravascular coagulation, thrombotic thrombocytopenic purpura
– Intrauterine complications: premature birth, low birth weight, hypoxic ischemic encephalopathy
– Case presentation of a 43-year-old primigravida with severe oligohydramnios and anemia
– Conceived through ART
– Three fetus papyraceus identified
– Emergency caesarean section performed
– Two live births
– Diagnosis through sonographic examinations
– Monitoring the effect on surviving fetus and mother