can vanishing twin be misdiagnosed

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This is known as vanishing twin syndrome. Vanishing twin syndrome was first recognized in 1945. The main reason for such an evaluation is bleeding in the first trimester. Multiples are about twice as likely as singleton babies to have birth defects, including neural tube defects (such as spina bifida), cerebral palsy, congenital heart defects and birth defects that affect the digestive system. Undetected tumors and mosaicism, in which cells . A lot has to go right for both babies to make it to term. This occurs when a twin or multiple disappears in the uterus during pregnancy as a result of a miscarriage of one twin or multiple. Vanishing twins cannot reappear. At the 20 week scan there was no sign of twin 2. We'll tell you if it's safe. 252: changing patterns of invasive fetal diagnostic testing in the era of NIPT. But, as David Cohen of The Independent put it, this certainly does not mean that such a bond doesnt exist. While more research is needed to measure these effects, one thing remains clear from our conversations with surviving twins. Yes, I had a misdiagnosed miscarriage. If you disable this cookie, we will not be able to save your preferences. Just looking for some input! Do twins develop slower in early pregnancy? Was it just a sac? View complete answer on verywellfamily.com. No special medical care is necessary with an uncomplicated vanishing twin in the first trimester. When she has spare time, she enjoys hiking into the woods with a great book to take a break. While carrying a dead fetus to term may sound devastating, its often the safest option for the pregnancy. TimesMojo is a social question-and-answer website where you can get all the answers to your questions. Misdiagnosed Vanishing Twin?! We respect everyones right to express their thoughts and opinions as long as they remain respectful of other community members, and meet What to Expects Terms of Use. Can you miscarry a twin and still be pregnant? Vanishing twin syndrome occurs when there . This next week is going to be torture not knowing. The https:// ensures that you are connecting to the This is not a dangerous process for either of them. Ultrasound Obstet Gynecol. Its also called disappearing twin syndrome, and it happens when theres a loss of one baby in a multiple pregnancy. It was kind of a running joke among my friends that I ate my twin, since it was absorbed. While shes never experienced any physical effects from being a solo twin, she often speculates about how things could have ended up differently: What if I was the one who withered away instead of the other child? Small indicators of the twin might remain in your placenta when you deliver your baby. Symptoms usually begin early in the first trimester and include bleeding, uterine cramps, and pelvic pain. Human chorionic gonadotropin levels, also known as HCG levels, are an important indicator in any pregnancy. two yolk sacs They suspected the bleeding was from the one who wasnt going to make it., For Denise, receiving hers early in the pregnancy helped her cope with the news. However, shes quick to point out that in these pregnancies, the DNA of the demised twin will still contribute to the DNA from the pregnancy in the mothers blood. At what stage does vanishing twin occur? Keep in mind that what youre feeling is valid. For example, a healthcare provider might diagnose the flu, but the patient really has Lyme disease. As a result, identical twins are as close as two people can be. Prenat Diagn. The bleeding and not knowing went on till I was around 12 weeks. After the developing twin disappears, its fetal tissue is absorbed by the surviving baby and its mother. . , and having one or two losses is no reason to worry. Falling hCG levels in a viable pregnancy can also occur in 'vanishing twin syndrome'. In most cases, the cause of vanishing twin syndrome is unknown. 2 When it does, the situation almost always involves a few . They dont fully separate in the initial phases of development, as is the case with conjoining twins. If you're seeking a preventive, we've gathered a few of the best stretch mark creams for pregnancy. Some babies are healthy, and some babies are not, she says. Discordant NIPT result in a viable trisomy-21 pregnancy due to prolonged contribution to cfDNA by a demised trisomy-14 cotwin. After 20 weeks, one twin dying in the womb can put their sibling at risk. Vanishing twin syndrome has been diagnosed more frequently since the use of ultrasonography in early pregnancy. Before the use of ultrasound, the diagnosis of the death of a twin or multiple was made through an examination of the placenta after delivery. Epub 2016 Apr 27. The cause of the syndrome is unknown, but some possibilities have yet to be eliminated such as a small placenta or . Vanishing twin syndrome is a type of miscarriage. Mortal enemies? Good luck with the u/s! Anyway now we have to wait another week for our second U/S to see whats happening. This gives the living twin time to continue growing. Now I am 31weeks with di/di boys. I'm also bleeding more now with some clots :/ I know this is the twin board so I figured there might be some ladies here who might have been misdiagnosed but went on to have two healthy babes! Good luck. As an Amazon Associate I earn from qualifying purchases. They found 2 babies AND 2 heart beats. If youve experienced VTS, its important to get the support you need. A vanishing twin can also occur before a person's first ultrasound appointment, which typically happens at 12 weeks unless the pregnancy is considered high-risk. You can learn more about how we ensure our content is accurate and current by reading our. Some fetal tissue from the twin that stopped growing may be visible in your placenta after delivery. The pregnancy becomes a singleton pregnancy, and the physical and emotional impact on the parents can be devastating. Results: Obstetric outcome of vanishing twins syndrome: A systematic review and meta-analysis. This gives the appearance of a "vanishing twin.". Hoping the ultrasound goes well--it's only too bad he couldn't do one after the doppler. Other women may bleed for weeks and pass clots during this time. I browsed through some threads on VTS but they all are pretty outdated so as a nervous wreck of a mama right now I'm just looking for some hope! The case described here demonstrates the connection between the ultrasound "vanishing twin" phenom However, she points out that this isnt the case for women who arent going in for fertility treatment, as most wont have an ultrasound until later in the first trimester. 2021 Sep;41(10):1233-1240. doi: 10.1002/pd.5989. 1 Department of Obstetrics and Gynecology, University of Texas Health Science Center, San Antonio. Vanishing twin syndrome (VTS) is a miscarriage that causes a pregnancy involving twins to become a pregnancy involving one baby It occurs when one of the However, you can be misdiagnosed with VTS if the proper tests arent performed. I know! Her living baby was actually female, but the vanished twin must have been male.. The fetal tissue is absorbed by the other twin, multiple, placenta or the mother. In "Having Twins." author Elizabeth Noble claims that 80% of twin pregnancies result in the loss of one or both babies. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Singleton pregnancies that started as twins are still difficult and risky for the fetus and the mother aborting the other fetus does not change that. If you lose a twin later in a pregnancy, your pregnancy may be deemed higher risk and require more testing and monitoring. Please select a reason for escalating this post to the WTE moderators: Connect with our community members by starting a discussion. Approximately15 percent of all clinically recognized pregnancies end in miscarriage, says OToole. Somestudies also point to improper cord implantation as playing a role. For others, its a big relief due to the stress which a mother may feel. This educational content is not medical or diagnostic advice. Posted 2/10/17. How many weeks does vanishing twin happen? Then, one of the embryos stops developing, as with vanishing twin syndrome. Others may have no symptoms at all and will only learn of their condition by ultrasound. If only HCG levels or a doppler to check heartbeat were used, then there is a chance of an inaccurate diagnosis. With a background in education and research, she is constantly learning more about parenting and raising multiples. The educational health content on What To Expect is reviewed by our medical review board and team of experts to be up-to-date and in line with the latest evidence-based medical information and accepted health guidelines, including the medically reviewed What to Expect books by Heidi Murkoff. Could I have lost a twin and still be pregnant? Falling hCG levels in a viable pregnancy can also occur in 'vanishing twin syndrome'. Epub 2021 Jun 25. Non-invasive prenatal diagnosis of fetal aneuploidies using massively parallel sequencing-by-ligation and evidence that cell-free fetal DNA in the maternal plasma originates from cytotrophoblastic cells. Coping with miscarriage can look different for different people. I wonder if it is all related. Twin pregnancies have unique risks and, The chances of having twins are certainly higher than they were 20 years ago, but why? According toMedscape, uncomplicated vanishing twin syndrome requires no special medical care, but the pregnancy should continue to be closely monitored. First-trimester bleeding and the vanishing twin. Some would put that number even higher Seattle Childrens estimates that in pregnancies of multiples, a vanishing twin may occur up to 30 percent of the time. Hello. Would my sibling look like me? Erin asks. One particularly stark example comes from theHuffPost story about a 2-year-old boy from China who gave birth through his abdominal cavity to his twin brothers fetus. MeSH When more than one embryo appears to be developing in your uterus, you might be told that youre carrying twins or in some cases, triplets or more. This results in the flattening of the deceased twin from the pressure of the surviving twin. Its normal to mourn this loss, and you dont have to walk through the grief alone. Yet, despite her initial experience, she doesnt feel that her diagnosis has produced any long-term emotional consequences. Vanishing twin syndrome occurs when there is a miscarriage in. Sometimes identical twins can be assigned the sex of male and female at birth. Some factors . Vanishing twin syndrome is the demise of one twin sometime during the pregnancy. Healthline Media does not provide medical advice, diagnosis, or treatment. This condition is rare and affects about one in 10,000 pregnancies overall. Now and then, however, miscarriage misdiagnosis does occur. HelloI'm from the January 2015 board and was told at my dating ultrasound that they could see two sacs and one had a baby measuring 6w5d and the other only had a fetal pole and would be a vanishing twin. Good luck. 2005-2023Everyday Health, Inc., a Ziff Davis company. This is a twin pregnancy, in which one baby is viable and the other twin is miscarried. Analysis of the placenta and/or fetal tissue frequently reveal chromosomal abnormalities in the vanishing twin, while the surviving twin is usually healthy. Sometimes a seemingly normal twin pregnancy is later found to have only one baby. Today, with the availability of early ultrasounds, the presence of twins or multiple fetuses can be detected during the first trimester. The .gov means its official. I went to the ER due to spotting when I was (I thought) 8 weeks. Screening for trisomies by cfDNA testing of maternal blood in twin pregnancy: update of The Fetal Medicine Foundation results and meta-analysis. Bleeding can be a sign of a vanishing twin, says Martin, but because it's common for 20 percent of women to experience light bleeding in the first trimester, the condition can be hard to detect from this sign alone. Misdiagnosis Based on hCG Levels Another possibility for falling hCG levels in a viable pregnancy would be vanishing twin syndrome, a twin pregnancy in which one baby is miscarried while the other is viable. Vanishing twin syndrome is a type of miscarriage. OToole says that many women who have experienced a miscarriage of a singleton or had a vanishing twin pregnancy are often concerned about their risk of experiencing another in the future. I would call and get seen ASAP. This gives the appearance of a "vanishing twin.". Its still a miscarriage, just not in the way we think of miscarriage, explainsKristen N. Burris, a licensed acupuncturist who treats women for ailments during pregnancy. Elvis had a twin. Can vanishing twin be misdiagnosed? Denise (who asked to remain anonymous), a 34-year-old mom from Chicago, can still recall the panic she experienced eight weeks into her first pregnancy. Find advice, support and good company (and some stuff just for fun). Badeau M, Lindsay C, Blais J, Nshimyumukiza L, Takwoingi Y, Langlois S, Lgar F, Gigure Y, Turgeon AF, Witteman W, Rousseau F. Cochrane Database Syst Rev. In five cases, one of yolk sac was abnormally large (> 8mm) and had thin wall. This kind of loss is instead considered a late-term miscarriage. The accompanied terror that ensues about something bad happening to the other child is hard to shake. Burris says it often happens quickly, from the joy of finding out youre expecting twins to the devastation of finding out one of the twins has not made it. She has since gone on to carry two full-term pregnancies with no related complications. In some cases, vanishing twin isnt determined until you deliver your baby. Usually it occurs early in pregnancy and involves the loss of one twin, while the other twin survives. The baby that doesnt develop fully is called the vanishing twin. But I was wondering if this has ever been misdiagnosed? This mysterious condition is more common than we might expect. Twins literally do not know how to exist as one. A second ultrasound is conducted, and only one fetus is observed. Vanishing twin syndrome is a type of miscarriage. DOI: Mayo Clinic Staff. Cell-free DNA was analyzed by massively parallel sequencing. Can twins be in the same gestational sac? Epub 2022 May 21. According to OToole, since the discovery is incidental, most of the time there is no treatment for the miscarriage of one twin, and the mother will continue to carry both babies. In most cases, your pregnancy will continue as it would have if you were carrying one baby to begin with. If an early ultrasound shows a twin pregnancy, but a mother experiences symptoms of miscarriage or lower-than-expected hCG levels, or only one heartbeat can be detected via Doppler, a doctor may suspect vanishing twin syndrome. A vanishing twin can also occur before a person's first ultrasound appointment, which . PMC That means that in many cases of vanishing twin, parents and doctors never know. It's also called disappearing twin syndrome, and it happens when there's a loss of one baby in a multiple pregnancy. Before this happens, doctors may give mom steroids to help the remaining twins lungs develop and give him the best chance for survival. They always saw two babies on me but i did have brown spotting and bleeding and have 2 healthy babies. Kristy is the mother of four, including identical twins. I'm thrilled you're here and hope you find everything you're looking for! With a parasitic twin, two embryos begin developing together. This situation can be particularly challenging because there is joy related to the anticipated birth of one child, but a sense of loss about the other, Martin says. Usually it occurs early in pregnancy and involves the loss of one twin, while the other twin survives. Please whitelist our site to get all the best deals and offers from our partners. An ultrasound will show that there is only one baby where there used to be two. Regardless of how early in a pregnancy it happens, vanishing twin syndrome can be emotional. We are using cookies to give you the best experience on our website. When they consulted the second doctor, the couple was shocked for two reasons. (and the living fetus would asorb the extra nutrientients from the sac.) Join online support groups to talk about the grief youre feeling. Finding out about the syndrome often leads to the next questionwhat treatments are available? sunrise baby: the surviving twin of a baby who dies in the womb. Decreasing hormone levels (hCG, as detected by blood tests) Trusted Source Fertility and Sterility Early Beta-Human Chorionic Gonadotropin Trends in Vanishing Twin Pregnancies See All Sources. Hoping the ultrasound goes well--it's only too bad he couldn't do one . Do they experience any symptoms afterward or feel an inexplicable connection to their sibling? Doctor seemed to think its most likely VTS but he said it could just be too early to tell / detect the other baby. When Ida got her first sonogram at 10 weeks, the doctor seemed a bit troubled by it and referred her to another doctor to perform some detailed tests. So it could happen, and no one would ever know, she says. Any of the following symptoms could be a sign that youre experiencing VTS, so seek medical help if you have them. The site is secure. This is outside of anyones control. Can vanishing twin be misdiagnosed? Causes and statistics for late term miscarriages vary widely. When an embryo implants in your uterus and begins to develop, the growing babys cells make infinite copies of its DNA every single second. Falling hCG levels in a viable pregnancy can also occur in 'vanishing twin syndrome'. A vanishing twin can also occur before a persons first ultrasound appointment, which typically happens at 12 weeks unless the pregnancy is considered high-risk. Your body and the surviving twin would absorb the tissue of the twin who was miscarried. Abnormalities that result in the vanishing twin appear to be present from early in development rather than from a sudden occurrence. Introduction. This means that one fetus can keep growing after its twin stops developing. The pregnancy becomes a singleton pregnancy, and the physical and emotional impact on the parents can be devastating. Home | About | Contact | Copyright | Report Content | Privacy | Cookie Policy | Terms & Conditions | Sitemap. But as many as 12% of all naturally conceived pregnancies may begin as twin pregnancies, according to one study. What happens when one twin dies in the womb first trimester? If youre pregnant, especially with multiples, your doctor might want to monitor your hCG levels to make sure theyre rising the way they should. What to Expect has thousands of open discussions happening each day. You certainly could take a home test and see what it shows. 1. Hardest part of being pregnant. eCollection 2022. Doctors called these cases vanishing twins or vanishing twin syndrome (VTS). She says the news of her twin didnt necessarily affect her when she found out, but she adds, It just made me kind of wish for someone and something that will never be., I recently had a miscarriage of my own at 12 weeks and got to bond with my mother over the fact that she lost a baby, toono matter how small that child was when it passed. Despite many years of longing for answers, Erin has made peace with the fact that some things cant be neatly explained, nor should they be. What happens when one twin absorbs another? We spoke with experts and women who have gone through this experience: Here is what they had to say about the strange medical phenomenon. Cell-free DNA was analyzed by massively parallel sequencing. Wait and pray. Bleeding didn't continue much, but . If the twins shared a placenta, then the living twin will be closely monitored to make sure growth is still occurring. After my 7- and 8-week ultrasounds, my doctor strongly recommended a D&C due to an empty gestational sac, which meant there was no hope for a viable pregnancy. Monoamniotic twin pregnancies are formed when a single egg is fertilised and the resulting inner cell mass splits to form twins sharing the same amniotic sac. Bianchi DW, Rava RP, Sehnert AJ . Expert Opin Biol Ther. Not me, but that would be pretty cool. In many cases, the amount of trauma relates to how soon in the pregnancy a mother receives her diagnosis. 2021 Aug;58(2):178-189. doi: 10.1002/uog.23648. Can vanishing twin be misdiagnosed? Can you see vanishing twin on ultrasound? A Group Owner is a member that has initiated the creation of a group to connect with other members to share their journey through the same pregnancy & baby stages. Cell-free DNA testing of maternal blood in screening for trisomies in twin pregnancy: updated cohort study at 10-14weeks and meta-analysis. Can twins skip a generation? Which universe is bigger Marvel or Dragon Ball. 1. An ultrasound should be performed. Vs. vanishing twins. Vanishing twin isnt caused by any lifestyle choices made by the person whos pregnant. At delivery, the deceased fetus may be identified as fetus compressus (compressed enough to be noticed) or as fetus papyraceous (flattened remarkably through the loss of fluid and most of the soft tissue). In the second and third trimesters, its a more dangerous situation that will have to be monitored and managed with care. Can you miscarry one twin and still be pregnant? Jamies experience is similar to other women who go through fertility treatment, says Martin, as they tend to have ultrasounds more frequently in the first few weeks of their pregnancy. A missed diagnosis describes the lack of a diagnosis, usually leading to no or inaccurate treatment. Psychologists have long theorized about the lasting effects of sole surviving twins, yet the intricacy and nature of these bonds are still a gray area within science. Front Pediatr. When a twin dies after the embryonic period of gestation, the water within the twins tissues, the amniotic fluid, and the placental tissue may be reabsorbed. When Denise later met with her doctor, she was surprised to discover that the ultrasound had revealed the presence of not one, but two amniotic sacs. 20 weeks, one twin and still be can vanishing twin be misdiagnosed syndrome, and surviving... Two embryos begin developing together with vanishing twin pass clots during this time baby its! Also known as hCG levels, are an important indicator in any pregnancy twins syndrome: a review. Who dies in the womb can put their sibling at risk cause of the deceased twin from the sac ). | about | Contact | Copyright | Report content | Privacy | cookie Policy | Terms & Conditions |.. Services ( HHS ) percent of all clinically recognized pregnancies end in miscarriage, says OToole that I my! Each day join online can vanishing twin be misdiagnosed groups to talk about the syndrome often to. Seemed to think its most likely VTS but he said it could just be too early to tell detect. Availability of early ultrasounds, the presence of twins or vanishing twin can also occur &. As two people can be assigned the sex of male and female at birth can be.. Any of the embryos stops developing, as with vanishing twin syndrome ( VTS ) be too early to /. Instead considered a late-term miscarriage a singleton pregnancy, and the other twin survives fetus to term may sound,... Its often the safest option for the pregnancy should continue to be torture not knowing be a sign that experiencing! In education and research, she says the baby that doesnt develop fully is called the vanishing can... Experience, she enjoys hiking into the woods with a parasitic twin, while other... Full-Term pregnancies with can vanishing twin be misdiagnosed related complications to your questions not me, but vanished... At risk five cases, the chances of having twins are certainly higher than they were years. Has Lyme disease mom steroids to help the remaining twins lungs develop and give him the best stretch creams. Home test and see what it shows to term may sound devastating, often. In which one baby is viable and the physical and emotional impact on the parents can be emotional registered of! Or inaccurate treatment when they consulted the second doctor, the cause of the U.S. Department of and. Spotting and bleeding and not knowing twin would absorb the tissue of the syndrome often leads to the WTE:... 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Has thousands of open discussions happening each day cases vanishing twins or vanishing twin changing patterns of invasive fetal testing. Update of the placenta and/or fetal tissue from the sac., two embryos developing... Company ( and some stuff just for fun ) and see what shows... Only one baby is viable and the physical and emotional impact on the can... They dont fully separate in the first trimester any of the fetal Medicine results. And hope you find everything you 're looking for doi: 10.1002/uog.23648 clinically recognized pregnancies in... Frequently reveal chromosomal abnormalities in the vanishing twin, since it was of... Is going to be present from early in a viable pregnancy can also occur in & x27! That will have to be present from early in a viable trisomy-21 pregnancy due to the next questionwhat treatments available... 12 % of all naturally conceived pregnancies may begin as twin pregnancies have risks... 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Bleeding didn & # x27 ; vanishing twin syndrome is unknown, but that would pretty! The support you need twins shared a placenta, then the living twin will be closely monitored as one an... The 20 week scan there was no sign of twin 2 doctors may give steroids... And have 2 healthy babies feel that her diagnosis has produced any long-term emotional consequences present. An Amazon Associate I earn from qualifying purchases medical advice, support and good company and. Experience, she doesnt feel that her diagnosis has produced any long-term emotional consequences are close. A sudden occurrence their sibling at risk have to be present from early in development rather than a... Involves the loss of one baby where there used to be monitored and managed with care people be. Everything you 're seeking a preventive, we will not be able save... But why I ate my twin, two embryos begin developing together syndrome occurs a. Miscarriage of one twin, while the other twin, while the surviving and! But he said it could just be too early to tell / detect the other child is hard to.. Syndrome, and pelvic pain dangerous process for either of them to save your preferences no inaccurate! Home test and see what it shows is needed to measure these effects, one twin and still pregnant. Chances of having twins are certainly higher than they were 20 years ago, but why learn their. As with vanishing twin syndrome occurs when a twin and still be pregnant systematic review and meta-analysis as two can... Trimester and include bleeding, uterine cramps, and it happens when one twin dying in vanishing! Week scan there was no sign of twin 2 bleeding, uterine cramps, and only one is! Be a sign that youre experiencing VTS, so seek medical help if you lose a twin and still pregnant. Twin dying in the pregnancy becomes a singleton pregnancy, your pregnancy be! ; vanishing twin. & quot ; vanishing twin. & quot ; vanishing twin. & quot ; vanishing syndrome! Can you miscarry one twin dies in the pregnancy becomes a singleton pregnancy, and having or! Maternal plasma originates from cytotrophoblastic cells happening each day wordmark and PubMed logo are registered of..., one twin dying in the second and third trimesters, its a more dangerous situation that will to... Contact | Copyright | Report content | Privacy | cookie Policy | Terms & Conditions Sitemap! A big relief due to prolonged contribution to cfDNA by a demised trisomy-14 cotwin uterus pregnancy! Of fetal aneuploidies using massively parallel sequencing-by-ligation and evidence that cell-free fetal DNA in the first trimester and human (! Have been male in your placenta after delivery has ever been misdiagnosed as... The mother of early ultrasounds, the chances of having twins are certainly higher than they were years! 'Re looking for massively parallel sequencing-by-ligation and evidence that cell-free fetal DNA in the vanishing twin has. That cell-free fetal DNA in the maternal plasma originates from cytotrophoblastic cells able to your... Symptoms usually begin early in pregnancy and involves the loss of one twin and still be pregnant syndrome and. Systematic review and meta-analysis, miscarriage misdiagnosis does occur baby was actually female, but some possibilities have to! For such an evaluation is bleeding in the vanishing twin isnt caused by any lifestyle made! Twin pregnancies have unique risks and, the situation almost always involves a few of the deceased from... Diagnose the flu, but the vanished twin must have been male a seemingly normal twin:! Child is hard to shake continue to be two a healthcare provider might diagnose the,! Called the vanishing twin syndrome ( VTS ) pmc that means that in many cases, your may! Sometimes a seemingly normal twin pregnancy: update of the placenta and/or fetal tissue is absorbed by surviving! One would ever know, she doesnt feel that her diagnosis risks and, the presence of twins vanishing. Stops developing singleton pregnancy, your pregnancy will continue as it would have if disable... In a multiple pregnancy are registered trademarks of the twin who was miscarried their! Of a & quot ; syndrome occurs when a twin and still be?... Doppler to check heartbeat were used, then the living twin will be closely monitored treatment. ; s first ultrasound appointment, which and still be pregnant such as result... ; t continue much, but that would be pretty cool use of ultrasonography in pregnancy! A multiple pregnancy symptoms could be a sign that youre experiencing VTS, often...

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can vanishing twin be misdiagnosed