iosr-JDMS   Volume-22 ~ Issue-7 ~ July 2023

Abstract: Acardiac Acephalus is a rare complication of monozygotic twins where Acardiac twin, also known as TRAP (Twin Reversed Arterial Perfusion Sequence) results from abnormal placental vasculature. Here we present a case of 27-year-old female with natural conception, Gravida 4, para 2, having 2 live children by vaginal deliveries, one abortion at 2 months of amenorrhea a year ago, presented to labor room at 27 weeks 3 days of gestational age, with labor pain and had sonography suggestive of monochorionic diamniotic pregnancy complicated by TRAP sequence..

Key Word: Acardiac Acephalus, TRAP sequence, Monochorionic Twins CASE REPORT

[1]. Wong AE, Sepulveda W. Acardiac Anomaly: Current Issues In Prenatal Assessment And Treatment. Prenat Diagn. 2005;25(9):796–806. Doi:10.1002/Pd.1269.
[2]. Das L. Acardiacus Anceps. J Obstet Gynaecol Br Emp. 1902;2:341–355.
[3]. . Napolitani FD, Schreiber I. The Acardiac Monster. A Review Of The World Literature And Presentation Of 2 Cases. Am J Obstet Gynecol. 1960;80(3):582–589. Doi:10.1016/S00029378(16)36520-6
[4]. Pepe F, Teodoro MC, Luca C, Privitera F. Conservative Management In A Case Of Uncomplicated Trap Sequence: A Case Report And Brief Literature Review. J Prenat Med. 2015;9(3–4):29–34. Doi:10.11138/ Jpm/2015.9.3.029.
[5]. Schatz Friedrich. Die Gefässverbindungen Der Placentakreisläufe Eineiiger Zwillinge, Ihre Entwickelung Und Ihre Folgen. Archiv Fur Gynakologie. 1899;58(1):1–82

Abstract: Anorectal melanoma is rare but aggressive malignancy that poses a significant challenge to physicians due to its non-specific presentation and often late diagnosis. The authors present a case of anorectal malignant melanoma. This is a rare condition with a poor prognosis. Currently, surgical management is the only therapeutic approach available.

Key Word: Anorectal melanoma; Aggressive tumor; Endoscopy

[1]. G. Malaguarnera, R. Madeddu, V.E. Catania, Anorectal Mucosal Melanoma, Oncotarget 9 (9) (2018) 8785–8800,
Https://Doi.Org/10.18632/Oncotarget.23835. Published 2018 Jan 2
[2]. 8-Zakaria G, Ifrine L, Bougtab A, Amraoui M, Kebdani T. Melanome Anorectal Primitif.These N° 163;2016.
[3]. 1-Baniyaseen Ka, Saeed M, Albonni Ao, Abdulshakour Bm, Dairi G, Al-Allaf Fa, Et Al. Primary Anorectal Amelanotic Melanoma: The First Case Report From Saudi Arabia. Middle East J Dig Dis. 2019;11:166-173
[4]. G. Malaguarnera, R. Madeddu, V.E. Catania, Anorectal Mucosal Melanoma, Oncotarget 9 (9) (2018) 8785–8800,
Https://Doi.Org/10.18632/Oncotarget.23835. Published 2018 Jan 2
[5]. J.S. Nigam, Kumar T. Nishit, A. Singh, P. Tewari, J.K. Pandey, Anorectal Melanoma - Brownish Black Mass Not Always A Hemorrhoid, Research Square (2021),.