Images in clinical medicine | Volume 36, Article 86, 12 Jun 2020 | 10.11604/pamj.2020.36.86.20345

Amniotic band syndrome

Tsakiridis Ioannis, Dagklis Themistoklis

Corresponding author: Tsakiridis Ioannis, Third Department of Obstetrics and Gynaecology, Faculty of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece

Received: 13 Sep 2019 - Accepted: 04 May 2020 - Published: 12 Jun 2020

Domain: Obstetrics and gynecology

Keywords: Amniotic band syndrome, primiparous, gestation

©Tsakiridis Ioannis et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Tsakiridis Ioannis et al. Amniotic band syndrome. Pan African Medical Journal. 2020;36:86. [doi: 10.11604/pamj.2020.36.86.20345]

Available online at: https://www.panafrican-med-journal.com/content/article/36/86/full

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Images in clinical medicine

Amniotic band syndrome

Amniotic band syndrome

Tsakiridis Ioannis1,&, Dagklis Themistoklis1

 

1Third Department of Obstetrics and Gynaecology, Faculty of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece

 

 

&Corresponding author
Tsakiridis Ioannis, Third Department of Obstetrics and Gynaecology, Faculty of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece

 

 

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A 30-year-old primiparous woman underwent routine nuchal translucency scan at 12+1 weeks of gestation. A possible amniotic band with entrapment of the upper limbs and the umbilical cord was noted. Amniotic bands or constriction rings may obstruct vascular and lymph supply and cause deformity, amputation or even intrauterine death. The exact etiology is unknown but they may be the result of rupture of the amnion without rupture of the chorion. In some cases, a fetoscopic intrauterine procedure may release the entangled limb, thus avoiding amputation. In this case, a follow up scan was scheduled at 14 gestational weeks to reassess and plan possible treatment, however, at that time a missed miscarriage was diagnosed, probably due to constriction of the umbilical cord. Following medical management, the abortus showed an amniotic band that caused amputation of both hands and constriction of the umbilical cord, as sonographically suspected.

 

 

Figure 1: amniotic band syndrome (A, B, C)

 

 

 

 

Images in clinical medicine

Amniotic band syndrome

Images in clinical medicine

Amniotic band syndrome

Images in clinical medicine

Amniotic band syndrome

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Key words

Amniotic band syndrome

Primiparous

Gestation

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