Tamrakar SR1*, Kayastha B1, Lamsal M2
1Department of Obstetrics and Gynecology, Kathmandu University School of Medical Sciences, Nepal 2Department of Obstetrics and Gynecology, Universal College of Medical Sciences, NepalFulltext PDF
Introduction: Fetus papyraceus is a rare condition in which one fetus of multiple gestations dies and becomes. We report an incidental diagnosed case of fetus papyraceus following cesarean delivery. Case Presentation: A 22 years gravida 2 para 1 living 1 lady with previous normal vaginal delivery presented to obstetrics emergency room of Dhulikhel Hospital, Kavre District in active phase of labor at 33 completed weeks of gestation with compound presentation (presenting parts were vertex with hand). This unsupervised case was posted for emergency caesarean section in view of compound presentation in labor. She delivered alive female baby weighing 1700 grams with good APGAR score but the newborn was shifted to NICU in view of prematurity. On placenta examination, twin gestation was revealed as another atrophied placenta without any visible cord and with recognizable head, body and limbs of fetal papyraceus was seen in separate amniotic cavity. Her postoperative period was uneventful. On fourth post-operative day, both mother and baby were discharged from the hospital. Their postnatal period was also uneventful. Conclusion: The intrauterine diagnosis of fetus papyraceus by sequential ultrasound examinations was possible. And it is possible to avoid certain complications with expectant management with close fetal and maternal surveillance in many occasions. But this opportunity may not be possible in unsupervised case particularly in rural set up.
Cesarean delivery; Compound presentation; Fetus papyraceus
Tamrakar SR, Kayastha B, Lamsal M. Incidental Finding of Fetus Papyraceus Following Cesarean Delivery. Ann Gynecol Obstetr Res. 2019; 2(1): 1010.