Background: Monochorionic diamniotic (MCDA) twin pregnancy with gastroschisis cames a poor prognosis. Live birth and well development of both twins are extremely rare.
Case: The authors report a rare case of discordant gastroschisis in MCDA twin. Both twins were followed up nine months after intrapartum fetal operation, and both are in good health until now.
Conclusion: This report expands successful management of discordant gastroschisis in MCDA twins. Early diagnosis, intensive prenatal care, and multidisciplinary consultation are recommended in management of discordant gastroschisis in MCDA twin.