Sonographische Diagnose des Amnionbänder-Syndroms

Abstract

A case is reported of sonographic diagnosis of ADAM-complex (amniotic band syndrome) in the 19th week of gestation of an otherwise healthy pregnancy. The ultrasonic investigation showed absence of bony structures in the skull area a direct connection to the placenta. The intra-cerebral structures showed no abnormalities. Aminocentesis demonstrated normal chromosomal analysis and an alpha-fetoprotein value was within normal limits. The acetylcholinesterase examination was negative. Following prostaglandin induction, a spontaneous delivery of a 230 g freshly dead fetus occurred, the latter exhibiting a broadly-based amniotic band connection between skull and placenta.

Intra-Uterine Fetal DemiseCaused by Amniotic Band Syndromeafter Standard Amniocentesis

“…Systematic inspection of the umbilical cord in every level II ultrasound scan does not seem reasonable or feasible, given the rarity of the condition and the low probability of detection [21]. Incorporating new techniques, such as Doppler colour flow mapping and measurements of vascular resistances, may prove helpful in selected patients with augmented risk (unexplained decrease or absence of fetal movements) [22].…”