双胎妊娠中的纸莎草胎:罕见病例报告

IF 0.1 Q4 MEDICINE, GENERAL & INTERNAL Journal of the Scientific Society Pub Date : 2023-09-01 DOI:10.4103/jss.jss_262_22
Arpana A. Dharwadkar, V. Viswanathan, Shruti Vimal, B. Iqbal
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引用次数: 0

摘要

纸样胎儿是指双胎中的一胎在孕早期胎死宫内,胎儿滞留在宫腔内,导致胎儿受压,形似羊皮纸。我们报告了一例这样的双胎妊娠,一名 23 岁的初产妇在停经 36 周后被转诊到本医院待产。她在产前检查时做了超声波检查,发现是双胎妊娠,其中一个胎儿已经死亡。她娩出了一个健康的胎儿、胎盘和另一个带有坚实区域的淡白色膜组织。该组织的多个切片显示有正在发育的骨骼、软骨、纤毛上皮和肌肉组织,确诊为纸样胎儿。纸样胎儿的基本问题是其对存活胎儿和母亲的影响。为避免可能出现的并发症,应密切关注宫内超声波检查和产后常规胎盘检查以寻找纸样胎儿。
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Fetus papyraceus in twin pregnancy: A rare case report
Fetus papyraceous is the intrauterine fetal demise of one of the twins in early pregnancy which gets retained resulting in compression and resembles parchment paper. We report one such case of twin pregnancy where a 23 years primigravida with 36 weeks amenorrhea was referred to our hospital for delivery. Ultrasonography done during antenatal visits revealed twin pregnancy with one dead fetus. She delivered one healthy baby, placenta, and another pale white membranous tissue with firm areas. Multiple sections from the tissue revealed areas of developing bone, cartilage, ciliated epithelium, and muscular tissue confirming the diagnosis of fetus papyraceus. The basic concern of fetus papyraceus is its effect on the surviving fetus and on the mother. To avoid possible complications, intrauterine diagnosis of fetus papyraceus by serial ultrasound examinations and routine placental examination postdelivery to search for fetus papyraceus should be keenly followed.
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来源期刊
Journal of the Scientific Society
Journal of the Scientific Society MEDICINE, GENERAL & INTERNAL-
自引率
33.30%
发文量
19
审稿时长
36 weeks
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