Fetus Papyraceous : Rarity Among Rarities

A 28 years old G3 P2 A0 with previous two cesarean sections presented for routine antenatal care at 10 weeks of gestation. She had family history of twin pregnancy in her real sister. Ultrasonography showed viable monochorionic, diamniotic twin gestation. She was advised regular antenatal visits. Ultrasound at 16 weeks showed intrauterine death of one of the fetuses with normal growth parameters of the second twin. Vigilant feto-maternal monitoring was done throughout the rest of her pregnancy and elective Cesarean section at 38 weeks yield a male baby of 3.4 kg. Examination of the placenta showed two cords one of which was attached to fetus papyraceous.