Background Abdominal pregnancy has been defined as an implantation in the peritoneal cavity, exclusive of tubal, ovarian or intraligamentary pregnancy which further classified in primary and secondary abdominal pregnancy. Abdominal pregnancy is a rare event but it represents a grave risk to the health of the pregnant woman. Case A 32 years old multigravida presented at 16 weeks of pregnancy with complaints of pain in right iliac fossa since 4 days. Vaginal examination revealed a 12 weeks size uterus with an right adenexal mass. Sonography showed intrauterine placentation with dead fetus lying outside the uterus in the right fornix. On laparotomy, diagnosis of secondary abdominal pregnancy made and managed accordingly. Conclusion A high suspicion of abdominal pregnancy is to be kept in obstetrician mind because of its various presentation. Early diagnosis and management is required in this lifethreatening condition. A combine approach of clinical as well as diagnostic technique is indicated. How to cite this article Sharma E, Khateja R, Agarwal R, Suneja A, Sharma A. Secondary Abdominal Pregnancy: A Rare Presentation. J South Asian Feder Obst Gynae 2015;7(3): 243-244.

Mono-amniotic mono-chorionic pregnancies are un-common among twin gestations. Further twin reversed arterial perfusion (TRAP) sequence is extremely rare presentation. Acardiac acephalic fetus resulting as a result of TRAP sequence has an estimated incidence of 1 in 35,000 pregnancies. To the best of our knowledge, no such case has been reported till date which presented as obstructed labour. We are highlighting this case so as to alert the managing team of obstetricians regarding this rare cause of obstructed labour. Also to increase awareness regarding this presentation presenting in advanced second stage of labour with fetal malpresentation. Only diagnostic pointer in index case was malformed fetal toes visible at introitus of mother in advanced second stage of labour.