Amniotic band syndrome at Bobo Dioulasso university teaching hospital (Burkina- Faso): about two cases

Abstract

Amniotic band syndrome is a rare congenital disorder. The authors report the first cases documented at Souro Sanou University Hospital in Bobo-Dioulasso (CHUSS) in 2 male new borns. The malformations found at birth, were worn only on limbs and were in the form of skin furrow necking with a major lymphedema downstream. In both cases, the constriction furrow at member pelvic was associated with a club foot and a pseudosyndactyly in one case. Surgical treatment consisted of a section of the constrictor ring and a Z-plasty. The functional outcome was satisfactory with the acquisition of a plantar support for both children. Through these two observations, epidemiological, diagnostic, and particularities of the management of this condition are discussed in the Burkina-Faso.

Amniotic Band Syndrome, Perinatal Hospice, and Palliative Care versus Active Management

“…Constricted bands are usually confined to the skin and soft tissues but at times can reach depths that cut off normal vascular and lymph supply, causing venous congestion, ischemia, chronic edema, clubfoot, and fractures of the afflicted areas [25–29]. When not diagnosed until postpartum, bands that interfere with drainage of the limb resulting in venous congestion or lymphedema can produce extreme pain, due to peripheral nerve compression requiring early surgical intervention repeated over several stages to improve long-term function [1, 28, 30–33].…”

Amniotic Band Syndrome: A Silent Knife In-Utero

“…Although emergency surgery is recommended within 48 hrs, delay in surgery till six months is justified based on the favorable aesthetic outcome and technical limitations. 36,37 Complications: ABS usually affects the extremities, fingers and toes are commonly involved. 32,38 The severity of the defects depends on the anatomical location of the amniotic band.…”