Moïse A, Capelle X, Van Linthout C
Département de Gynécologie-obstétrique, CHU Liège, Belgique.
Rev Med Liege. 2019 Jul;74(7-8):406-409.
Antenatal diagnosis of the amniotic band syndrome often occurs during the second trimester of pregnancy when complex and asymmetrical limb deformities are observed. As vital prognosis depends on the gravity of malformations, lesion assessment should be as accurate as possible. Color doppler US screening is useful and could unravel limb vascular compression by an amniotic band. A vascular stop predicts in utero limb amputation. We hereby report the case of a 30-year-old patient pregnant with a fœtus presenting 4-limb deformities. One limb was highly suspected of undergoing amputation. Facing those heavy-burden anomalies, the patient asked for a medical termination of her pregnancy.
羊膜带综合征的产前诊断通常发生在妊娠中期,此时可观察到复杂且不对称的肢体畸形。由于重要的预后取决于畸形的严重程度,因此病变评估应尽可能准确。彩色多普勒超声筛查很有用,它可以揭示羊膜带对肢体血管的压迫。血管阻断预示着子宫内肢体截肢。我们在此报告一例30岁孕妇的病例,其胎儿存在四肢畸形。其中一条肢体高度怀疑正在经历截肢。面对这些严重的异常情况,患者要求人工终止妊娠。