Vanishing twin: Difference between revisions

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{{Short description|A phenomenon in which one twin disappears in the womb during pregnancy}}
{{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.}}
{{Use dmy dates|date=October 2023}}


'''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.
==Vanishing twin==
 
[[File:Fetus_papyraceus.JPG|thumb|right|Fetus papyraceus, a mummified fetus that results from a vanishing twin.]]
==History==
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.
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.


==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.


==Effects on the surviving twin==
==Implications for the surviving twin==
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.
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==
==Fetus papyraceus==
[[File:Fetus_papyraceus.JPG|thumb|right|A fetus papyraceus, a mummified fetus resulting from vanishing twin syndrome.]]
[[File:Fetus_papyraceus.JPG|thumb|left|Another view of fetus papyraceus.]]
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.
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.
 
==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==
==Related pages==
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* [[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]]

Revision as of 11:19, 15 February 2025

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

Fetus papyraceus, a mummified fetus that results from a 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

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

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

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

Another view of fetus papyraceus.

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.

Related pages