scholarly journals OP27.10: Spontaneous resolution of constrictive amniotic band in lower limb may question the indication of in-utero intervention

2010 ◽  
Vol 36 (S1) ◽  
pp. 133-133
Author(s):  
M. Yamamoto ◽  
V. Muñoz ◽  
L. Caicedo ◽  
A. Insunza E. Paiva
Keyword(s):  
Lower Limb ◽  
In Utero ◽  
Spontaneous Resolution ◽  
Amniotic Band

scholarly journals Right Atrial Thrombosis in the Fetus with Dilatation of the Right Atrium with in Utero Spontaneous Resolution - A Case Report with Neonatal Follow-Up

2015 ◽  
Vol 5 (4) ◽  
pp. 26-33
Author(s):  
Joanna Płużańska ◽  
Kinga Jaguszewska ◽  
Jolanta Binikowska ◽  
Adam Oleś ◽  
Maciej Łukaszewski ◽  
...  
Keyword(s):  
Case Report ◽  
Treatment Strategy ◽  
Right Atrium ◽  
In Utero ◽  
Spontaneous Resolution ◽  
Right Atrial ◽  
Cardiac Malformation ◽  
The Right ◽  
Optimal Treatment Strategy

Abstract We present an extraordinary case of congenital enlargement of the right atrium diagnosed at 31 weeks of gestation. This case emphasizes the fact that timing of the detection of this particular cardiac malformation is of capital importance to tract the optimal treatment strategy in order to monitor further progression (in this case accompanying thrombosis) and prevent complications.

Spontaneous resolution of fetal ascites secondary to gastrointestinal abnormality

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Alison Wiles ◽  
Melissa Yannetti ◽  
Cheryl Dinglas
Keyword(s):  
Small Bowel ◽  
Neonatal Outcome ◽  
Abdominal Mass ◽  
In Utero ◽  
Spontaneous Resolution ◽  
Meconium Peritonitis ◽  
Case Presentation ◽  
Favorable Prognosis ◽  
Normal Neonate ◽  
Gastrointestinal Abnormalities

Abstract Objectives Isolated fetal ascites carries an uncertain prognosis and broad differential diagnosis. When detected on prenatal sonography, a thorough evaluation is warranted to exclude development of hydrops and search for an underlying condition. While gastrointestinal abnormalities account for approximately 20% of cases of fetal ascites, surgical correction is commonly required postnatally. While there have been reports of isolated fetal ascites resolving in utero, spontaneous resolution of the causative gastrointestinal abnormality is unusual. Case presentation We report a case of a multiparous 33-year-old found to have moderate fetal ascites and a complex fetal abdominal mass near the small bowel detected by ultrasound at 32 weeks with spontaneous resolution of both ascites and mass by 37 weeks. Following the delivery of a normal neonate, we suspect the mass and ascites to have been produced by a small bowel rupture resulting in meconium peritonitis. Conclusions When fetal ascites with late gestational onset has spontaneous resolution in utero and hydrops never develops, there is generally a favorable prognosis and normal neonatal outcome.

scholarly journals Salvage of Necrotic-Appearing Limb after In Utero Endoscopic Lysis of Constriction Bands

2017 ◽  
Vol 07 (02) ◽  
pp. e74-e78 ◽  
Author(s):  
A. Chon ◽  
B. Chen ◽  
W. Burkhalter ◽  
R.H. Chmait ◽  
M. Abdel-Sattar
Keyword(s):  
Blood Flow ◽  
Lower Extremity ◽  
Color Doppler ◽  
Lower Extremities ◽  
In Utero ◽  
Postnatal Life ◽  
Amniotic Band ◽  
Constriction Band ◽  
The Right ◽  
And Function

AbstractWe report a case of amniotic band syndrome complicated by constriction bands and marked distal swelling of both lower extremities. Color Doppler interrogation of the right lower extremity revealed complete lack of blood flow below the level of the constriction. Upon fetoscopic survey, the right lower extremity beyond the constriction band appeared dusky red and discolored with desquamation, consistent with a necrotic appearance. The constriction bands were cut in utero using endoshears, thereby allowing restoration of blood flow on postoperative day 1. The patient was counseled extensively regarding the possibility of limb dysfunction or amputation. However, the baby was born with functional lower extremities, and at 21 months of age, the child was cruising and jumping on his own. This case demonstrates that there is unique plasticity in fetal limb recovery after a severe ischemic injury that is not otherwise seen in postnatal life. Reperfusion of the necrotic-appearing limb resulted in restoration of appearance and function without apparent deleterious effects on the fetus. We believe the favorable outcome in this case was likely due to timeliness of the in utero lysis of amniotic bands and the plasticity of fetal healing.

Prenatal Sonographic Diagnosis of Congenital Megalourethra With In Utero Spontaneous Resolution

2009 ◽  
Vol 28 (10) ◽  
pp. 1385-1388 ◽  
Author(s):  
Joseph R. Wax ◽  
Michael G. Pinette ◽  
Andrew Landes ◽  
Angelina Cartin ◽  
Jacquelyn Blackstone
Keyword(s):  
In Utero ◽  
Spontaneous Resolution ◽  
Sonographic Diagnosis ◽  
Congenital Megalourethra

Spontaneous Resolution of Atrioventricular Dissociation In Utero

1998 ◽  
Vol 19 (6) ◽  
pp. 487-489
Author(s):  
J.R. Boris ◽  
J.A. Drose ◽  
M.S. Schaffer ◽  
E.M. Shaffer
Keyword(s):  
In Utero ◽  
Spontaneous Resolution ◽  
Atrioventricular Dissociation

scholarly journals P33.06: In utero spontaneous resolution of a marked femur angulation

2007 ◽  
Vol 30 (4) ◽  
pp. 579-579
Author(s):  
A. Viegas ◽  
M. A. Fajardo ◽  
B. Hervias ◽  
J. L. Bartha
Keyword(s):  
In Utero ◽  
Spontaneous Resolution

Limb Body Wall Complex and Sirenomelia in Twins

1994 ◽  
Vol 43 (1-2) ◽  
pp. 126-126
Author(s):  
R. Russo ◽  
R. Vecchione
Keyword(s):  
Lower Limb ◽  
Similar Pattern ◽  
Body Wall ◽  
Twin Pair ◽  
Urogenital Tract ◽  
Limb Defects ◽  
Amniotic Band ◽  
Limb Anomalies ◽  
Urogenital Anomalies

AbstractThe coexistence of Limb body wall complex (LBWC) and Sirenomelia sequence (SS) is present in only two studies in the literature on the topic. Tang et al (1991) and Martinez-Frias et al (1992) examined single fetuses and pointed out that the association of these two phenomena is extremely rare. The present study further contributes to the investigation and description of this particular association in a pair of twins. Both twins presented abdominal defects, urogenital anomalies and persistence of the primitive cloaca, but did not show craniofacial (CF) defects or amniotic band related defects. One twin had one leg only. In a previous study on LBWC we identified two morphologically and pathogenetically different phenotypes which, among other characteristics, are identifiable by the presence or absence of CF defects. (Russo et al. 1993; Russo et al. in press). Our twin pair belongs to the LBWC group without CF defects. This group, like SS cases, is usually characterized by the presence of lower limb anomalies. Aside from this, they also share a similar pattern of anomalies involving the urogenital tract and the cloaca. Analysis of the anomalies present in the twin pair leads us to suggest that the Sirenomelia pattern might be at the extreme end in a spectrum of lower limb defects within the LBWC group that does not present CF defects. In brief, we suggest that the coexistence of this LBWC type and SS is not related to the occurrence of two different defects but is the consequence of a common maldevelopmental process occurring during blastogenesis.

Inherited cause of in utero digital malformations

2020 ◽  
Vol 13 (3) ◽  
pp. e232020
Author(s):  
Catherine Gooch ◽  
Caitlin Wright ◽  
Katherine Nelson ◽  
Nathaniel Robin
Keyword(s):  
Birth Defect ◽  
Medical Literature ◽  
In Utero ◽  
Ehlers Danlos Syndrome ◽  
Amniotic Band ◽  
The Third ◽  
Vascular Type ◽  
Band Sequence ◽  
Amniotic Band Sequence ◽  
Danlos Syndrome

Amniotic band sequence (ABS) is common birth defect of incompletely understood origin. Here we describe a case of ABS in a child with paternally inherited Ehlers-Danlos syndrome, vascular type (vEDS). This is the third reported instance of ABS associated with paternally inherited vEDS in the medical literature. The two main theories of ABS formation are the extrinsic and intrinsic. The extrinsic theory states that placental tears form fibrous cords that wrap around the fetus; the intrinsic states that poor vascularisation in the fetus leads to necrosis of distal extremities. We believe this case supports extrinsic theory as it shows that as an amnion weakened by vEDS in fetal components is associated with ABS.

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