P37.08: Twin reversed arterial perfusion (TRAP) sequence: Case report of conservative management and good pregnancy outcome

ultrasound early in gestation. Differential diagnosis is important because of avoiding unnecessary termination. We report here an epigastric heteropagus conjoined female twins case which was characterized by a completely formed fetus with an omphalocele and an adjacent second body consisting with a pelvis and two lower extremities. There was not a bowel or bony connections and there was a thin vascular pedicle between twins. The diagnosis was made with three dimensional ultrasonography at 18 weeks of gestation.