Case Report on Conservative Management of Acardiac Acephalus

Abstract

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.