Twin papyraceous fetuses in a triplet pregnancy.

A 25 years old, 4 gravida was admitted to the labor room on 16 July 2004 at 2:10 p.m with 9 months amenorrhea, and labor pain with leaking for 5 hours. She had three normal deliveries, the last one 4 years back. She had three antenatal visits, the first at 36 weeks gestation and the last 2 days before admission. Sonography done at 38 weeks, showed a single, live, intrauterine pregnancy. Within 5 minutes of admission she delivered a 2600g baby with good apgar. After delivery she expelled an amniotic sac of 8 cm. Opening the sac, revealed two compressed flattened fetuses with shriveled cords. Sex of abortus could not be determined. Retrospectively it was a diamniotic dichorionic multiple gestation with one of the sacs having, two papyraceous fetuses with shriveled cords and a common 80g placenta. Each of the two papyraceous fetuses had a crown-heel length of 14 cm, head circumference of 7 cm, and weight of 40 g. The mother had a normal puerperium.