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Amniotic Band Syndrome - A Dreaded Condition
1Junior Resident, Department of Obstetrics & Gynaecology, ESI medical college & PGIMSR , KK Nagar, Chennai, India .
Journal of Clinical and Diagnostic Research : JCDR
|February 20, 2016
Summary
Amniotic band syndrome, a condition where the amnion causes birth defects, was diagnosed in a diabetic, obese patient at 13 weeks gestation. Medical termination was performed due to multiple anomalies, highlighting potential risk factors.
Area of Science:
- Reproductive Medicine and Fetal Development
- Medical Genetics and Teratology
Background:
- Amniotic band syndrome (ABS) is a rare congenital disorder characterized by fibrous bands of amnion that can entrap fetal parts, leading to various malformations.
- Maternal risk factors such as obesity and pre-existing diabetes mellitus are increasingly recognized as potential contributors to adverse pregnancy outcomes, including congenital anomalies.
Observation:
- A case presentation of a second gravida, obese patient with a history of diabetes mellitus, who presented for routine antenatal care at 13 weeks gestation.
- Routine ultrasonography revealed multiple fetal anomalies, leading to a diagnosis of amniotic band syndrome.
Findings:
- The ultrasonographic findings confirmed the presence of amniotic band syndrome, indicating a significant disruption of normal fetal development.
- The patient's pre-existing conditions of obesity and diabetes mellitus were identified as potential contributing risk factors for the observed anomaly.
Implications:
- The case underscores the importance of early ultrasonographic screening for congenital anomalies, particularly in high-risk pregnancies.
- Counseling regarding medical termination of pregnancy was provided, and postponement of future pregnancies was advised to mitigate recurrence risks.
- Further research into the specific mechanisms linking maternal diabetes and obesity to amniotic band syndrome is warranted.
Keywords:
Abdominal wall defectsAmputationHyperglycemiaLimb body wall complexObesityVascular occlusionMore Related Videos
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