acardiac acephalus twin pregnancy with poor prenatal outcomes: a case report

Introduction:acardiac twin refers to a monochorionic pregnancy in which there is a twin with absent or nonfunctioning heart and a normal cotwin. this was a very rare disorder of monozygotic twin pregnancy. the aim of this report was to introduce a case of acardiac acephalus twin pregnancy. case presentation:a 32 year old woman (g3 p2 l2) referred to the hospital because of a decrease in fetal movement at 32 weeks of gestation. ultrasonography showed a dead fetus. her earlier sonography showed the possibility of acardiac twin pregnancy, but she did not have any appropriate or special prenatal care for this problem. after delivery, there was a normal dead fetus without any gross abnormality and another acardiac fetus. conclusions:early diagnosis of acardiac twin pregnancy and appropriate prenatal care are of prime importance for appropriate intervention and best fetal outcomes.