Alzarmah Israa, Alawaji Ziyad H, Sharaf Futoun Z, Alharbi Adel S
From the Department of Plastic and Reconstructive Surgery, King Fahad Hospital, Medina, Saudi Arabia.
Plast Reconstr Surg Glob Open. 2025 Aug 5;13(8):e7020. doi: 10.1097/GOX.0000000000007020. eCollection 2025 Aug.
Amniotic band syndrome (ABS) is a rare congenital condition with variable clinical presentation. It is the consequence of fetal components becoming tangled by amniotic strands, leading to constriction rings. The clinical presentation of ABS varies widely from constriction rings and limb defects to anomalies of the nervous system or spine and craniofacial defects making the diagnosis of ABS challenging, especially prenatally. The treatment of ABS is guided by the time of presentation. An 8-month-old infant, born at full term with an uncomplicated neonatal course, presented to our clinic with multiple constriction rings on her upper and lower extremities. She underwent staged release of constriction bands using W-plasty and Z-plasty with satisfactory aesthetic outcomes. Early identification of ABS is crucial because it can lead to devastating complications, including loss of limb function and disability. Surgery is the mainstay of treatment, but often, cases require a multidisciplinary approach.
羊膜带综合征（ABS）是一种临床表现多样的罕见先天性疾病。它是胎儿身体部分被羊膜束缠绕的结果，导致缩窄环形成。ABS的临床表现差异很大，从缩窄环和肢体缺陷到神经系统或脊柱异常以及颅面缺陷，这使得ABS的诊断具有挑战性，尤其是在产前。ABS的治疗取决于发病时间。一名足月出生、新生儿期无并发症的8个月大婴儿因上下肢多处缩窄环前来我院就诊。她接受了采用W形皮瓣和Z形皮瓣分期松解缩窄带的手术，美学效果令人满意。早期识别ABS至关重要，因为它可能导致严重并发症，包括肢体功能丧失和残疾。手术是主要治疗方法，但通常情况下，病例需要多学科方法。
