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Case ReportCase Report

The Recognition And Significance Of The Vanishing Twin

Jo Jackson and Kurt Benirschke
The Journal of the American Board of Family Practice January 1989, 2 (1) 58-63; DOI: https://doi.org/10.3122/jabfm.2.1.58
Jo Jackson
From the Family Practice Residency, Swedish Hospital Medical Center, Seattle, and the Departments of Pathology and Reproductive Medicine, University of California, San Diego. Address reprint requests to Jo Jackson, M.D., Swedish Hospital Family Practice Clinic, 700 Minor Avenue, Seattle, WA 98104
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Kurt Benirschke
From the Family Practice Residency, Swedish Hospital Medical Center, Seattle, and the Departments of Pathology and Reproductive Medicine, University of California, San Diego. Address reprint requests to Jo Jackson, M.D., Swedish Hospital Family Practice Clinic, 700 Minor Avenue, Seattle, WA 98104
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Abstract

With the advent of sonography, a twin pregnancy may be diagnosed in early gestation. Serial sonographic examinations can show the disappearance of one of two twins. We offer evidence of an early twin pregnancy with a “vanishing twin,” resulting in a liveborn singleton plus a fetus papyraceus. There is an increasing body of information about explanations, management, and complications associated with a multiple gestation and fetal death. The distinction between monochorionic and dichorionic twins is important in their management and for both maternal and fetal prognosis. Identification of dizygotic twins through chromosomal or sonographic studies, revealing separate placentas, separate membranes, or different sexes, theoretically allows the physician to predict a favorable outcome for the live twin and the mother. (J Am Bd Fam Pract 1989; 2:58-63.)

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The Journal of the American Board of Family     Practice: 2 (1)
The Journal of the American Board of Family Practice
Vol. 2, Issue 1
1 Jan 1989
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The Recognition And Significance Of The Vanishing Twin
Jo Jackson, Kurt Benirschke
The Journal of the American Board of Family Practice Jan 1989, 2 (1) 58-63; DOI: 10.3122/jabfm.2.1.58

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The Recognition And Significance Of The Vanishing Twin
Jo Jackson, Kurt Benirschke
The Journal of the American Board of Family Practice Jan 1989, 2 (1) 58-63; DOI: 10.3122/jabfm.2.1.58
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