A case of primary ovarian twin pregnancy is presented. A 30-year-old woman, gravida 3 para 2, was admitted to Medical College Hospital, Jabalpur, for postdated pregnancy with intrauterine fetal demise. Ultrasonography showed a break in the continuity of the uterus suggestive of a ruptured uterus. On laparotomy, twin ovarian pregnancy was discovered. One fetus was postdated, showing signs of maceration. The bones of the other fetus were discovered in the sac, suggestive of an autolysed fetus of approximately 26 to 28 weeks of gestation.
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