Atiyeh Bishara S, Moucharafieh Ramzi
Division of Plastic and Reconstructive Surgery, American University of Beirut Medical Center, Beirut, Lebanon.
J Craniofac Surg. 2010 Sep;21(5):1400-3. doi: 10.1097/SCS.0b013e3181ebcd6b.
Amniotic rupture sequence is associated with defects of variable severity and at different sites. Analysis of the literature reveals difficulties in the classification, which, in addition to uncertainties surrounding its causes, make diagnosis of unusual presentations rather difficult. We present an unusual case of a thoracoabdominal restrictive band from the umbilicus to a low-set posterior hairline with severe trapezius contracture, sternoclavicular dislocation, and no associated craniofacial or limb abnormalities. Amnion rupture sequence with adhesion band seems to be the most probable cause of this rare combination of anomalies.
羊膜破裂序列征与不同严重程度和不同部位的缺陷相关。对文献的分析显示在分类方面存在困难,除了其病因存在不确定性外,这使得对不寻常表现的诊断相当困难。我们报告了一例罕见病例,患者从脐部到低位后发际线有一条胸腹限制性束带,伴有严重的斜方肌挛缩、胸锁关节脱位,且无相关的颅面或肢体异常。伴有粘连带的羊膜破裂序列征似乎是这种罕见的异常组合最可能的原因。