Demise of a twin

Changed by Ayush Goel, 9 Oct 2014

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Demise of a twin is complication that can occur in a twin pregnancy (particularly monochorionic pregnancies) and may be due to a wide range of pathologies. Once the twin dies, most of the dead twin tends to be absorbed leaving behind a small flattened remnant known as the fetus papyraceus.

Epidemiology

The incidence of intrauterine death of a single twin is ~5.7-7% 1-2.

Radiographic features

Twin (or other multifetal) pregnancy with one twin having an absent heartbeat, and often being smaller than the live fetus, with oligohydramnios.

In some cases, only one fetus may be identified on ultrasound of a previously documented twin pregnancy 5, and this may be due to resorption or misscarriage of the demised twin, the so called vanishing twin syndrome.

Complications

See also

  • -<p><strong>Demise of a twin </strong>is complication that can occur in a <a href="/articles/multifetal-pregnancy-1">twin pregnancy</a> (particularly <a href="/articles/monochorionic-twin-pregnancy">monochorionic pregnancies</a>) and may be due to a wide range of pathologies. Once the twin dies, most of the dead twin tends to be absorbed leaving behind a small flattened remnant known as the <a href="/articles/fetus-papyraceus">fetus papyraceus</a>.</p><h4>Epidemiology</h4><p>The incidence of intrauterine death of a single twin is ~5.7-7 % <sup>1-2</sup>.</p><h4>Radiographic features</h4><p>Twin (or other multifetal) pregnancy with one twin having an absent heartbeat, and often being smaller than the live fetus, with oligohydramnios.</p><p>In some cases, only one fetus may be identified on ultrasound of a previously documented twin pregnancy <sup>5</sup>, and this may be due to resorption or misscarriage of the demised twin, the so called vanishing twin syndrome.</p><h4>Complications</h4><ul><li>
  • -<a href="/articles/twin-embolisation-syndrome">twin embolisation syndrome</a>: the surviving healthy fetus in a monochorionic co twin demise</li></ul>
  • +<p><strong>Demise of a twin </strong>is complication that can occur in a <a href="/articles/multifetal-pregnancy-1">twin pregnancy</a> (particularly <a href="/articles/monochorionic-twin-pregnancy">monochorionic pregnancies</a>) and may be due to a wide range of pathologies. Once the twin dies, most of the dead twin tends to be absorbed leaving behind a small flattened remnant known as the <a href="/articles/fetus-papyraceus">fetus papyraceus</a>.</p><h4>Epidemiology</h4><p>The incidence of intrauterine death of a single twin is ~5.7-7% <sup>1-2</sup>.</p><h4>Radiographic features</h4><p>Twin (or other multifetal) pregnancy with one twin having an absent heartbeat, and often being smaller than the live fetus, with oligohydramnios.</p><p>In some cases, only one fetus may be identified on ultrasound of a previously documented twin pregnancy <sup>5</sup>, and this may be due to resorption or misscarriage of the demised twin, the so called vanishing twin syndrome.</p><h4>Complications</h4><ul><li>
  • +<a href="/articles/twin-embolisation-syndrome">twin embolisation syndrome</a>: the surviving healthy fetus in a monochorionic co-twin demise</li></ul><h4>See also</h4><ul><li><a title="twin twin transfusion syndrome" href="/articles/twin-twin-transfusion-syndrome-1">twin twin transfusion syndrome</a></li></ul>

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