Vanishing twin: Difference between revisions

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{{Short description|A phenomenon in which one twin disappears in the womb during pregnancy}}
{{SI}}
{{Use dmy dates|date=October 2023}}
{{Infobox medical condition
 
| name            = Vanishing twin
'''Vanishing twin syndrome''' is a phenomenon that occurs in a multiple pregnancy when one of the [[fetuses]] dies in the womb and is partially or completely reabsorbed by the mother or the surviving twin. This condition can occur at any time during pregnancy but is most common in the first trimester.
| image          = [[File:Fetus_papyraceus.JPG|250px]]
 
| caption        = Fetus papyraceus, a form of vanishing twin
==History==
| field          = [[Obstetrics]]
The concept of the vanishing twin was first recognized in 1945. With the advent of [[ultrasound]] technology, the phenomenon has been more frequently observed and documented. Early ultrasound scans can detect multiple gestations, but subsequent scans may reveal only one fetus, indicating the occurrence of a vanishing twin.
| synonyms        = Twin embolization syndrome
 
| symptoms        = [[Miscarriage]], [[vaginal bleeding]], [[uterine cramps]]
| complications  = [[Preterm birth]], [[cerebral palsy]] in surviving twin
| onset          = [[First trimester]] of pregnancy
| duration        = Remainder of pregnancy
| causes          = [[Twin-to-twin transfusion syndrome]], [[chromosomal abnormalities]]
| risks          = [[Multiple pregnancy]], [[in vitro fertilization]]
| diagnosis      = [[Ultrasound]], [[magnetic resonance imaging]]
| differential    = [[Miscarriage]], [[blighted ovum]]
| prevention      = None
| treatment      = Monitoring, supportive care
| prognosis      = Generally good for surviving twin
| frequency      = Occurs in up to 30% of twin pregnancies
}}
{{Short description|A phenomenon in which one twin in a multiple pregnancy disappears in the uterus during pregnancy as a result of miscarriage of one twin or multiple.}}
==Vanishing twin==
A '''vanishing twin''' is a phenomenon that occurs in a [[multiple pregnancy]] when one of the [[fetuses]] dies in the [[uterus]] and is partially or completely reabsorbed by the mother or the surviving twin. This can happen at any time during the pregnancy, but it is most commonly observed in the first trimester.
==Causes==
==Causes==
The exact cause of vanishing twin syndrome is not well understood. It is believed to be related to chromosomal abnormalities in the fetus, which can lead to miscarriage. Other factors may include improper implantation of the fertilized egg or issues with the [[placenta]].
The exact cause of a vanishing twin is not always known, but it is believed to be due to a variety of factors. These can include [[chromosomal abnormalities]], [[placental insufficiency]], or other developmental issues that prevent the twin from surviving. In some cases, the body may naturally reabsorb the tissue of the deceased twin, while in others, the tissue may remain and become compressed, leading to a condition known as [[fetus papyraceus]].
 
==Diagnosis==
==Diagnosis==
Vanishing twin syndrome is often diagnosed through ultrasound. In early pregnancy, an ultrasound may show two gestational sacs, but later scans may reveal only one developing fetus. The presence of a vanishing twin can sometimes be confirmed by the detection of a second [[amniotic sac]] or fetal tissue.
The diagnosis of a vanishing twin is often made during a routine [[ultrasound]] examination. Initially, two [[gestational sacs]] or two [[embryos]] may be visible, but in subsequent scans, one may no longer be present. The remaining twin usually continues to develop normally, although there may be some increased risk of complications depending on the timing and cause of the vanishing twin.
 
==Implications for the surviving twin==
==Effects on the surviving twin==
In most cases, the surviving twin is not adversely affected by the loss of the co-twin. However, there can be some risks depending on the stage of pregnancy and the cause of the vanishing twin. These risks can include [[preterm birth]], [[low birth weight]], or other complications. It is important for the pregnancy to be monitored closely by healthcare professionals.
In most cases, the surviving twin is not affected by the loss of the other twin. However, there can be complications if the vanishing twin occurs later in pregnancy. These complications can include preterm labor, infection, or issues with the placenta.
 
==Fetus papyraceus==
==Fetus papyraceus==
[[File:Fetus_papyraceus.JPG|thumb|right|A fetus papyraceus, a mummified fetus resulting from vanishing twin syndrome.]]
When a twin dies in utero and is not completely reabsorbed, it may become compressed by the growing surviving twin. This results in a flattened, parchment-like appearance known as [[fetus papyraceus]]. This condition is rare and is usually discovered during delivery or through imaging studies.
In some cases, the deceased twin may become compressed by the growing surviving twin and the uterine wall, resulting in a condition known as '''fetus papyraceus'''. This is a rare occurrence where the dead fetus is flattened and mummified.
==See also==
 
==Prevalence==
Vanishing twin syndrome is relatively common, occurring in about 20-30% of multifetal pregnancies. However, many cases go undetected because they occur very early in pregnancy, often before the first ultrasound.
 
==Related pages==
* [[Multiple birth]]
* [[Multiple birth]]
* [[Miscarriage]]
* [[Miscarriage]]
* [[Ultrasound]]
* [[Ultrasound]]
 
* [[Chromosomal abnormality]]
==References==
* Landy, H. J., & Keith, L. G. (1998). The vanishing twin: A review. ''Human Reproduction Update'', 4(2), 177-183.
* "Vanishing Twin Syndrome." American Pregnancy Association. Retrieved from [https://americanpregnancy.org/healthy-pregnancy/pregnancy-complications/vanishing-twin-syndrome/]
 
[[Category:Pregnancy]]
[[Category:Pregnancy]]
[[Category:Twins]]
[[Category:Twins]]
[[Category:Obstetrics]]

Latest revision as of 18:05, 12 April 2025

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
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Vanishing twin
Synonyms Twin embolization syndrome
Pronounce N/A
Specialty N/A
Symptoms Miscarriage, vaginal bleeding, uterine cramps
Complications Preterm birth, cerebral palsy in surviving twin
Onset First trimester of pregnancy
Duration Remainder of pregnancy
Types N/A
Causes Twin-to-twin transfusion syndrome, chromosomal abnormalities
Risks Multiple pregnancy, in vitro fertilization
Diagnosis Ultrasound, magnetic resonance imaging
Differential diagnosis Miscarriage, blighted ovum
Prevention None
Treatment Monitoring, supportive care
Medication N/A
Prognosis Generally good for surviving twin
Frequency Occurs in up to 30% of twin pregnancies
Deaths N/A


A phenomenon in which one twin in a multiple pregnancy disappears in the uterus during pregnancy as a result of miscarriage of one twin or multiple.


Vanishing twin[edit]

A vanishing twin is a phenomenon that occurs in a multiple pregnancy when one of the fetuses dies in the uterus and is partially or completely reabsorbed by the mother or the surviving twin. This can happen at any time during the pregnancy, but it is most commonly observed in the first trimester.

Causes[edit]

The exact cause of a vanishing twin is not always known, but it is believed to be due to a variety of factors. These can include chromosomal abnormalities, placental insufficiency, or other developmental issues that prevent the twin from surviving. In some cases, the body may naturally reabsorb the tissue of the deceased twin, while in others, the tissue may remain and become compressed, leading to a condition known as fetus papyraceus.

Diagnosis[edit]

The diagnosis of a vanishing twin is often made during a routine ultrasound examination. Initially, two gestational sacs or two embryos may be visible, but in subsequent scans, one may no longer be present. The remaining twin usually continues to develop normally, although there may be some increased risk of complications depending on the timing and cause of the vanishing twin.

Implications for the surviving twin[edit]

In most cases, the surviving twin is not adversely affected by the loss of the co-twin. However, there can be some risks depending on the stage of pregnancy and the cause of the vanishing twin. These risks can include preterm birth, low birth weight, or other complications. It is important for the pregnancy to be monitored closely by healthcare professionals.

Fetus papyraceus[edit]

When a twin dies in utero and is not completely reabsorbed, it may become compressed by the growing surviving twin. This results in a flattened, parchment-like appearance known as fetus papyraceus. This condition is rare and is usually discovered during delivery or through imaging studies.

See also[edit]