Differential Diagnosis of Amniotic Band and Intrauterine Synechiae in Second Trimester Pregnancy: Case Report

<p>Amniotic band sequence (ABS) describes highly variable spectrum of congenital anomalies that occur in association with amniotic bands. İntrauterine synechiae is a condition in which scar tissue develops within the uterine cavity. We aim to present a case of ABS and a case of intrauterine synechiae and compare their ultrasonographic findings. Ultrasonography revealed contraction ring in the right groin area of the first fetus but second fetus was healthy. The diagnosis of ABS is based upon the presence of characteristic structural findings on prenatal ultrasound or postnatal physical examination. The diagnosis of intrauterine adhesions is based upon visualization of intrauterine adhesions either directly by hysteroscopy or indirectly by other imaging studies. The floor of the intrauterine adhesions is widely and lateral of the uterine cavity and occurs from four layers while the amniotic band is a thin layer and forms fluctuations in the amniotic fluid. Amniotic bands may cause variable spectrum of congenital anomalies whereas intrauterine adhesions do not increase the probability of fetal anomaly because it is out of the amniotic cavity.</p>

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Osteomyelitis in limb amputated by amniotic band sequence

BMJ Case Reports ◽

10.1136/bcr-2018-228588 ◽

2019 ◽

Vol 12 (4) ◽

pp. e228588

Author(s):

Mohsin Raj Mantoo ◽

Mayank Priyadarshi ◽

Ankit Verma ◽

Anu Thukral

Keyword(s):

Coagulase Negative Staphylococcus ◽

Amniotic Band ◽

Knee Amputation ◽

Systemic Sepsis ◽

Intravenous Antibiotics ◽

Band Sequence ◽

The Right ◽

Spread Of Infection ◽

Amniotic Band Sequence ◽

Contiguous Spread

A preterm (30+2 week) neonate with below-knee amputation (right lower limb), constriction rings and syndactyly, subsequent to amniotic band sequence, developed pus discharge from the right tibial stump. The neonate did not have clinical features of systemic sepsis. Blood culture was sterile. The pus culture, however, grew methicillin-resistant coagulase-negative Staphylococcus and bone scan was suggestive of osteomyelitis of right proximal tibial stump. Osteomyelitis was likely caused by the contiguous spread of infection from the exposed stump. Neonate was treated with intravenous antibiotics for 4 weeks and discharged on oral feeds.

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Prenatal diagnosis of the pronounced form of amniotic band sequence in the I trimester of gestation

10.21516/2413-1458-2020-19-3-251-254 ◽

2020 ◽

Author(s):

O.G. Sidorova , S.K. Kononova , S.I. Sofronova et all

Keyword(s):

Prenatal Diagnosis ◽

Umbilical Cord ◽

Cleft Lip ◽

Pathological Examination ◽

Fixed Position ◽

Amniotic Band ◽

Tissue Edema ◽

Band Sequence ◽

The Right ◽

Amniotic Band Sequence

The case of early prenatal diagnosis of multiple congenital malformations of the fetus caused by amniotic bands is presented. Ultrasound examination at 13 weeks of gestation revealed exencephaly, ectopia of the heart, fixed position of the fetus, short umbilical cord, generalized soft tissue edema, amniotic bands. A pathological examination based on the detected amniotic fibrous bands covering the head, trunk and umbilical cord of the fetus confirmed the diagnosis. It was identified that the fetus additionally had: anophthalmia, dysplasia of the auricles, atresia of the auditory canals, dysplasia of the upper and lower jaws, cleft lip, agenesis of the sternum, gastroschisis, contracture of the right elbow joint.

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Amniotic Band Sequence, Frequently Misdiagnosed in Cleft Patients

Jurnal Plastik Rekonstruksi ◽

10.14228/jpr.v1i3.58 ◽

1970 ◽

Vol 1 (3) ◽

Author(s):

Nandita Melati Putri ◽

Siti Handayani ◽

Kristaninta Bangun

Keyword(s):

Congenital Anomalies ◽

Cleft Lip ◽

Multidisciplinary Approach ◽

Cleft Lip And Palate ◽

Wide Spectrum ◽

Amniotic Band ◽

Facial Cleft ◽

Band Sequence ◽

Constriction Ring Syndrome ◽

Amniotic Band Sequence

Background: Amniotic band sequence (ABS) is a set of congenital malformations attributed to amniotic bands that entangle fetal parts during intrauterine life. thiopatogenesis of this sequence is still unknown. Because of such a wide spectrum of possible anomalies and many combinations of their simultaneous appearance, there are no two identical cases of ABS. This diagnosis is often missed based on the secondary major defects.Patients and Methods : There are cases of cleft patients treated in Plastic Surgery Division Cipto Mangunkusumo Hospital that has other congenital anomalies. The data is taken from the medical record and surgical photos (in our division from 2010-2011). Results : The patients presented had either facial cleft or cleft lip and palate. These patients had other congenital anomalies such as meningoencephalocele and constriction ring syndrome or other defects on the extremities.Summary : This diagnosis may not be often established because we often only see the secondary major defects such as meningoencephalocele or facial cleft. With this paper we hope that we could make this diagnosis known so we can make a multidisciplinary approach to this sequence.

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Unusual Case of Amniotic Band Sequence

International Journal of Surgical Pathology ◽

10.1177/1066896916680073 ◽

2016 ◽

Vol 25 (5) ◽

pp. 430-430

Author(s):

Stefan Kostadinov ◽

Svetlana Shapiro

Keyword(s):

Unusual Case ◽

Amniotic Band ◽

Band Sequence ◽

Amniotic Band Sequence

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Amniotic Band Sequence - A Debilitating Syndrome

Journal of Nepal Medical Association ◽

10.31729/jnma.375 ◽

2012 ◽

Vol 52 (188) ◽

Author(s):

R Uma ◽

A Garg ◽

S K Patnaik

Keyword(s):

Caesarean Section ◽

Genetic Counselling ◽

Index Finger ◽

Amniotic Band ◽

Risk Of Recurrence ◽

Left Hand ◽

Male Baby ◽

Band Sequence ◽

Amniotic Band Sequence ◽

Little Finger

A male baby was delivered by Caesarean section at term to a 35 years second gravida lady with fibroid uterus. The mother was booked and immunized and not on any medication. Antenatal and natal periods including serial ultrasounds were normal. At birth the neonate was observed to have multiple grooves over ring & middle index finger of left hand and hypoplasia of left little finger. Both great toes were amputated. In view of asymmetrical involvement, presence of amniotic bands, no other organ involvement and sporadic nature, he was diagnosed as a case of amniotic band sequence. Congenital amputations should be distinguished from congenital hypoplasia and/or aplasia. Differentiation is important for genetic counselling and evaluation of the risk of recurrence. Keywords: Amniotic Bands, Intrauterine Amputation, Intrauterine Constriction Rings.

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