The Teaching Point

On antenatal ultrasound evaluation of a fetus with asymmetric distribution of defects, meticulous evaluation for the presence and location of amniotic bands should be performed to confidently diagnose amniotic band syndrome. Thorough assessment of the entire length of umbilical cord is critical to exclude cord entrapment and strangulation, which is vital for prognostication and management of these cases.






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From the manuscript

Amniotic band syndrome with sacral agenesis and umbilical cord entrapment: A case report emphasizing the value of evaluation of umbilical cord

Free full text article: Amniotic band syndrome with sacral agenesis and umbilical cord entrapment: A case report emphasizing the value of evaluation of umbilical cord

Abstract
Amniotic band syndrome is a rare congenital disorder caused by entrapment of fetal parts by fibrous amniotic bands in utero. The congenital anomalies seen in this syndrome vary widely and defects may be isolated or multiple and do not follow a specific pattern. Asymmetric distribution of defects is the hallmark of this syndrome. The diagnosis is difficult to make on ultrasound and relies on identification of amniotic bands. We report a case of amniotic band syndrome with sacral agenesis diagnosed on routine antenatal ultrasound scan in the second offspring of a recently diagnosed diabetic mother. The associated features were entrapment of umbilical cord, caudal adhesions and lower limb anomalies. Medical termination of pregnancy was done and all the fetal anomalies as well as umbilical cord abnormalities were confirmed. The importance of meticulous scanning to evaluate for amniotic bands and the umbilical cord in addition to the fetal structures is emphasized.






References



1. Burton D J, Filly RA. Sonographic diagnosis of the amniotic band syndrome. AJR Am J Roentgenol.1991 Mar; 156(3):555-8
Get full text
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2. Chen HE, Chen CP. Taiwan J Obstet Gynecol. 2007 Sep; 46(3):286-7
Get full text
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3. Cignini P, Giorlandino C. Epidemiology and risk factors of amniotic band syndrome, or ADAM sequence. J Prenat Med 2012 Oct; 6(4):59-63
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


4. Oliemen Peterside, James E Omietimi, Oyedeji O Adeyemi. Amniotic band syndrome: a report of two cases and review of the literature. IOSR Journal of Dental and Medical Sciences; 5: Mar.- Apr 2013
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


5. Van Allen MI. Fetal vascular disruptions: mechanisms and some resulting birth defects. Pediatr Ann 1981 Jun; 10(6):219-33
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


6. Werler MM, Bosco JL, Shapira SK: National Birth Defects Prevention Study. Maternal vasoactive exposures, amniotic bands, and terminal transverse limb defects. Birth Defects Res A Clin Mol Teratol 2009 Jan; 85(1):52-7
Get full text
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7. Davies BR, Giménez-Scherer JA. Comparison of the amniotic band disruption complex with acardiac twins does not support its vascular origin. Fetal Pediatr Pathol 2007 Mar-Apr; 26 (2):87-99
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


8. Streeter GL. Focal deficiencies in fetal tissues and their relation to intrauterine amputations. Contrib Embryol Carnegie Inst 1930; 22:1-44.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


9. Davies BR, Giménez-Scherer JA, Hernández-Sierra JF. Fetal amniotic adhesions. Their topographic concordance with regionally clustered malformations Arch Med Res
Get full text
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10. De Laat MW, Franx A, van Alderen ED, Nikkels PG, Visser GH. The umbilical coiling index, a review of the literature. J Matern Fetal Neonatal Med 2005 Feb;17(2):93-100
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


11. Neuman J, Calvo-Garcia MA, Kline-Fath BM, Bitters C, Merrow AC, Guimaraes CV, Lim FY. Prenatal imaging of amniotic band sequence: utility and role of fetal MRI as an adjunct to prenatal US. Pediatr Radiol 2012 May;42(5):544-51
Get full text
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12. Keswani SG, Johnson MP. In utero limb salvage: fetoscopic release of amniotic bands for threatened limb amputation. J Pediatr Surg 2003 Jun; 38(6):848-51
Get full text
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13. Lurie S, Feinstein M, Mamet Y. Umbilical cord strangulation by an amniotic band resulting in a stillbirth. J Obstet Gynaecol Res 2008 Apr; 34(2):255-7
Get full text
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14. Özkavukcu E, Halilo?lu N. Gray-scale and color Doppler US findings of amniotic sheets. Diagn Interv Radiol 2012 May-Jun; 18(3):298-302
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


15. Mills JL. Malformations in infants of diabetic mothers. Teratology 25:385-94.1982 Birth Defects Res A Clin Mol Teratol
Get full text
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16. Al Kaissi A, Klaushofer K, Grill F. Caudal regression syndrome and popliteal webbing in connection with maternal diabetes mellitus: a case report and literature review. Cases J 2008 Dec 19; 1(1):407
Get full text
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