Fetoscopic release of an amniotic band with risk of amputation: case report and review of the literature

Fetal Diagn Ther. 2012;31(2):134-7. doi: 10.1159/000335026. Epub 2012 Jan 14.

Abstract

Amniotic bands can cause limb amputation as well as intrauterine fetal demise. Fetoscopic release of amniotic bands has been shown to rescue limb function. Herein, we describe an interesting case of an amniotic band wrapped around the right forearm as well as the umbilical cord, which was released by fetoscopy. Following the procedure, the blood flow in the forearm was restored and the edema gradually reduced. Full functionality of the arm was confirmed after birth, though the esthetic problem of the imprint of the band on the arm persisted. Furthermore, we review the available literature regarding fetoscopic interventions in amniotic band syndrome.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Amniotic Band Syndrome / classification
  • Amniotic Band Syndrome / diagnostic imaging
  • Amniotic Band Syndrome / surgery*
  • Female
  • Fetoscopy / adverse effects
  • Fetoscopy / methods*
  • Forearm / abnormalities
  • Forearm / blood supply
  • Forearm / diagnostic imaging
  • Forearm / surgery
  • Humans
  • Infant
  • Infant, Newborn
  • Laser Therapy
  • Male
  • Pregnancy
  • Risk Factors
  • Treatment Outcome
  • Ultrasonography, Prenatal