Deceased co‐twin as a cause of false positive amniotic fluid AFP and AChE

Elizabeth J.T. Winsor, B. St John Brown, Edwin R. Luther, Stephen A. Heifetz, J. Philip Welch

Research output: Contribution to journalArticlepeer-review

17 Citations (Scopus)

Abstract

A pregnancy was terminated because of persistently elevated amniotic fluid AFP (+10 S.D.) and an AChE band of low intensity on gel electrophoresis. No fetal anomalies were detected by ultrasonographic examination. Autopsy revealed an apparently normal fetus of about 20 weeks gestation. Attached to the placenta was a small sac containing a fetus papyraceus co‐twin of about 8–9 weeks gestation. The small deceased co‐twin and its gestational sac were not detected prenatally despite multiple ultrasonographic examinations. The difficulty in the interpretation of apparently conflicting results is emphasized.

Original languageEnglish
Pages (from-to)485-489
Number of pages5
JournalPrenatal Diagnosis
Volume7
Issue number7
DOIs
Publication statusPublished - Sept 1987

ASJC Scopus Subject Areas

  • Obstetrics and Gynaecology
  • Genetics(clinical)

PubMed: MeSH publication types

  • Case Reports
  • Journal Article

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