• Hippokratia · Jan 2017

    Case Reports

    Amniotic band syndrome in dichorionic diamniotic twin pregnancy.

    • A Krzyżanowski, M Kwiatek, T Gęca, B Barczyński, and A Kwaśniewska.
    • Department of Obstetrics and Pathology of Pregnancy Medical University of Lublin, Poland.
    • Hippokratia. 2017 Jan 1; 21 (1): 46-48.

    BackgroundAmniotic band syndrome (ABS) is a rare disorder which leads to a number of deformities of the fetus body. The treatment depends on the severity of the defect and the extent of the deformity.Case ReportA 36-year-old primigravida with a dichorionic diamniotic (DCDA) twin pregnancy was diagnosed during the first-trimester ultrasonography with fetal lower part edema of one twin caused by amniotic bands. A selective termination of the affected fetus was performed. The remainder part of the pregnancy was normal. A healthy newborn was delivered at term. After delivering the placenta, the presence of fetus papyraceus was detected. The amniotic bands were unidentifiable in the pathologist's examination. A reliable ultrasonographic diagnosis enables the detecting ABS in early pregnancy.ConclusionIn the case of ABS in DCDA twin pregnancy, conducting a selective termination of the affected fetus creates the opportunity for the proper development of the healthy fetus as well as reaching its full maturity. HIPPOKRATIA 2017, 21(1): 46-48.

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