SINGLE-FETAL ABORTION IN TWIN PRESENCE WITH THE PRESENCE OF A PAPYRACEOUS FETUS

CASE REPORT AND CLINICAL IMPLICATIONS

Abstract

Objectives: To present and analyze a clinical case of fetal abortion in a twin pregnancy with the presence of a papyraceous fetus, with an emphasis on diagnostic evaluation, clinical management and consequences for the coexisting fetus and maternal health. Methods: Work carried out retrospectively and descriptively of a patient’s clinical condition. The data were obtained with the patient’s consent through medical records, in addition to exams and the pregnant woman’s notebook. The remaining information was acquired through a bibliographic search on the Google Scholar, PubMed and Scielo platforms with the descriptors twin pregnancy, papyraceous fetus, fetal abortion, intrauterine death, twins. Discussion: Twin pregnancies are considered risk factors for fetal and maternal deaths. The occurrence of death of only one of the fetuses at the beginning of twin pregnancy, allows the occurrence of a rare event called papyraceous fetus, characterized by intrauterine retention of the deceased fetus, generating its mummification. This situation can generate serious complications for the mother and the viable fetus. Conclusions: It is a rare condition that can pose risks to the health of the mother and the viable fetus. However, in the clinical case described, there was no maternal compromise and the viable fetus showed good viability.