Integration of three-dimensional ultrasonography in the prenatal diagnosis of amniotic band syndrome: A case report

Abstract

Amniotic band syndrome is a rare disorder which is thought to be caused by early rupture of the amniotic membrane. The extent of the disease may vary from minor digital amputations to severe lethal anomalies. For many years in routine clinical practice, this syndrome has been diagnosed with two-dimensional ultrasonography. Evolving imaging techniques by means of three-dimensional ultrasonography gives the chance of early and accurate diagnosis of this devastating anomaly. By integrating three-dimensional ultrasonography to the suspected findings diagnosed in the two-dimensional ultrasonography allows us to predict possible outcomes and provides convenience in counselling. Herein we present a case of amniotic band syndrome diagnosed at 19 weeks of gestation with three-dimensional ultrasonography and pregnancy was terminated in the 20th week. Using three-dimensional ultrasonography in certain suspected foetal anomalies may provide the early diagnosis and more accurate knowledge about extent of the disease. (J Turk Ger Gynecol Assoc 2014; 15: 56-9)

Abnormal ultrasound appearance of the amniotic membranes – diagnostic and significance: a pictorial essay

“…The differential diagnoses that arise for this condition are: uterine adhesions, septate uterus, circumvallate placenta or amniotic band syndrome [2,3]. Septate uterus is easily recognizable by its fundal position and large insertion [4].…”

Amniotic Band Syndrome: A Silent Knife In-Utero

“…20 Traditionally, two-dimensional ultrasonography (2D USG) has been the choice but the three-dimensional ultrasonography (3D USG) rendering mode has been found to have an advantage in spatial analysis and visualization. [21][22][23][24][25][26] 3D USG can also be employed for late diagnosis with added precision. Therefore, three or four dimensional ultrasound can be a better option to diagnose the amniotic band and associated fetal anomalies.…”

A Rare Presentation of Amniotic band syndrome: Antenatal diagnosis and perinatal management

“…Amniotic band syndrome is a rare syndrome occurring about 1,200 in 15,000 newborns [1,2] and is a major cause of congenital malformation of the fetus. In most cases, there are membranes binding the fetus's limbs, fi ngers, toes [3][4][5], and skull, including a deformation of face, mouth, nose, eyes, chest, ribs, spinal bone, front surface of sexual organs, and anal hole [6,7]. The prediction of the disease depends on the severity of the pathology caused by the organs tied with membranes causing an abortion up to 1 in 70 people [8,9].…”