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- W2895881737 abstract "Amniotic band syndrome (ABS) is an uncommon congenital disorder that is characterised by the entrapment of some fetal parts with fibrotic bands in utero. Constriction caused by the amniotic band could produce distally-located edema which may eventually lead to self-amputation due to markedly reduced blood flow. A 32-year-old woman, gravida 3 para 1, who had received regular antepartum examinations at a local clinic, visited our outpatient unit for fetal Level II ultrasonography at 23 weeks of gestation. The ultrasound results showed unremarkable findings except the presence of the left hand with an irregular swollen mass measuring as 3.5x2.9 cm2 in size. There were metatarsal bones identified inside the mass. Besides, a fractured point on the left distal forearm was also noticed. The 3D surface rendering image revealed a tight constriction ring located at the distal forearm with marked swelling of the left hand. We gave the expectant parents a detailed counseling accordingly. One day after, the expectant parents decided to terminate this pregnancy. A demised fetus was delivered vaginally and had characteristic features consistent with ABS. The nearly amputated left wrist and hand exhibited severe swelling with hematoma formation. Under close inspection, the thumb and fingers with nails were recognized. A narrow constriction ring around the wrist and the thumb was apparently caused by the entrapment of amniotic band. An early diagnosis of ABS can be made prenatally by experienced obstetricians. Reconstructed images by 3D ultrasound technology are helpful to make a firm in utero diagnosis and to provide a proper communication with the family. Supporting information can be found in the online version of this abstract Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article." @default.
- W2895881737 created "2018-10-26" @default.
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- W2895881737 date "2018-10-01" @default.
- W2895881737 modified "2023-10-18" @default.
- W2895881737 title "EP11.18: Prenatal diagnosis of amniotic band syndrome: a case report" @default.
- W2895881737 doi "https://doi.org/10.1002/uog.19978" @default.
- W2895881737 hasPublicationYear "2018" @default.
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