Journal of South Asian Federation of Obstetrics and Gynaecology

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VOLUME 14 , ISSUE 2 ( March-April, 2022 ) > List of Articles


Case Report on Conservative Management of Acardiac Acephalus

Apeksha M Mohite

Keywords : Acardiac acephalus, Monozygotic monochorionic, Twin reversed arterial perfusion

Citation Information : Mohite AM. Case Report on Conservative Management of Acardiac Acephalus. J South Asian Feder Obs Gynae 2022; 14 (2):198-199.

DOI: 10.5005/jp-journals-10006-2033

License: CC BY-NC 4.0

Published Online: 21-06-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Background: Acephalus is a rare complication of multiple gestations with an incidence of 1 in 35,000 pregnancies and 1% of monochorionic twins. Case description: A 21-year-old primigravida with a twin pregnancy with one acardiac acephalus, with ultrasonography (USG) s/o twin gestation approximately 25.3 weeks along with the presence of hydropic acardiac twin corresponding to 23 weeks and the presence of rudimentary spinal elements with no skull and upper extremities was managed conservatively at a tertiary care center with routine fetal monitoring using USG and Doppler ultrasonography. Conclusion: Early and accurate antenatal diagnosis is very important in order to prevent the pump twin from developing its usual complications. Both conservative and interventional management approaches are available which varies from patient to patient depending on various factors.

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  1. Barth RA, Crow HC. Ultrasound evaluation of multifetal gestations. In: Callen PW, editor. Callen ultrasonography in obstetrics and gynaecology. 4th ed. Pennsylvania: WB Saunders; 2000. p. 196–198.
  2. Prasad RH, Prasad TR, Kumar KD. TRAP sequence-an interesting entity in twins. J Clin Imaging Sci 2012;2:56. DOI: 10.4103/2156-7514.100997.
  3. Saritha S, Sumedha S, Anjankar VP. Twin reversed arterial perfusion sequence (TRAP Sequence). The acardiac/acephalic twin. Int J Anat Res 2013;03:140–144. ISSN: 2321-4287.
  4. Stamatian F, Muresan D, Caracostea G, et al. Advances in ultrasonic assessment of acardiac twin. Donald School J Ultrasound Obstet Gynecol 2011;5(3):213–218. DOI: 10.5005/jp-journals-10009-1198.
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