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Acardiac Acephalus Fetus Presenting as Obstructed Labour: A Case Report

Manupriya Sharia and Chanderdeep Sharma

Mono-amniotic mono-chorionic pregnancies are un-common among twin gestations. Further twin reversed arterial perfusion (TRAP) sequence is extremely rare presentation. Acardiac acephalic fetus resulting as a result of TRAP sequence has an estimated incidence of 1 in 35,000 pregnancies. To the best of our knowledge, no such case has been reported till date which presented as obstructed labour. We are highlighting this case so as to alert the managing team of obstetricians regarding this rare cause of obstructed labour. Also to increase awareness regarding this presentation presenting in advanced second stage of labour with fetal malpresentation. Only diagnostic pointer in index case was malformed fetal toes visible at introitus of mother in advanced second stage of labour.