Aplasia cutis congenita (ACC) is a heterogenous group of disorders characterized by the absence of a portion of skin in a localized or widespread area at birth. The scalp is the most commonly involved area with lesser involvement of trunk and extremities. We hereby report a rare presentation of this entity with isolated bilateral symmetrical involvement of lower extremities.

Fetus papyraceus is a rare condition in which a mummified fetus is observed in a multiple gestation pregnancy in which one fetus dies and becomes flattened between the membranes of the other fetus and uterine wall. The principal aim in such case is conserving the surviving twin without compromising the maternal health by planned and efficient maternal and fetal surveillance. We hereby present a case of monochorionic diamniotic pregnancy with one live fetus and one fetus papyraceus.