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Gaceta Médica Boliviana

On-line version ISSN 1012-2966


ALEGRE ANDRADE, Patricia  and  TOKO CHAVEZ, Marcelo. Fetus papyraceus in twin pregnancy obtained by cesarean . Gac Med Bol [online]. 2019, vol.42, n.2, pp.172-175. ISSN 1012-2966.

The papyraceus fetus is a flat and mummified fetus, without external changes, it occurs in twin or multiple pregnancy, of unknown cause. Intrauterine death both fetal, ovular and maternal. Complications: in the mother it is disseminated intravascular coagulation and in the surviving fetus may present Congenital Cutaneous Aplasia, renal dysgenesis and intestinal atresia. A 42-year-old patient, with a 38-week pregnancy, iterative cesarean section, uncontrolled gestational diabetes, conservative management with serial ultrasound and laboratory control. For the culmination of pregnancy: caesarean section under spinal anesthesia, male newborn, delivery of placenta plus papiraceous fetus. In conclusion, individual management with serial ultrasound control of the surviving fetus, perform Doppler ultrasound, measure the volume of amniotic fluid, biophysical profile and control of maternal modifiable risk factors, to take an optimal and adequate behavior for the culmination of pregnancy.

Keywords : papyraceous fetus.

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