Rare Case of Twin Reversed Arterial Perfusion (TRAP) Acardius acephalus Subtype seen in Community-Based Hospital

Abstract

Objective: The purpose is to present a case report on TRAP sequence which is a rare phenomenon that has not set guidelines for management. Study Design: Case report Results: 32-year-old G4P2012 with TRAP syndrome in current pregnancy presented to triage at 26 weeks with contractions and spotting. She had undergone RFA for selective reduction at another facility. Placental abruption was suspected and patient underwent a cesarean section. Twin A was delivered alive although she subsequently succumbed due to complications of prematurity. Conclusion: This case highlights the importance of early detection and consistent prenatal care in the management of TRAP sequence. Further research of interventions associated with improved outcomes should be encouraged.