A case of amniotic band syndrome after fetal reduction by radiofrequency ablation
10.3760/cma.j.cn113903-20230119-00033
- VernacularTitle:射频消融减胎术后并发羊膜带综合征1例
- Author:
Xiaomin ZHAO
1
;
Wen LI
;
Yongmei SHEN
;
Liying YAO
;
Lei ZHANG
;
Shanshan LI
;
Xiuying TIAN
;
Ying CHANG
Author Information
1. 天津市中心妇产科医院产前诊断中心，天津 300100
- Keywords:
Pregnancy, twin;
Fetofetal Transfusion;
Radiofrequency ablation;
Pregnancy reduction, multifetal;
Amniotic band syndrome
- From:
Chinese Journal of Perinatal Medicine
2023;26(8):687-690
- CountryChina
- Language:Chinese
-
Abstract:
This article reported a survived case of amniotic band syndrome (ABS) following fetal reduction by radiofrequency ablation. The woman conceived monochorionic diamniotic twin pregnancy spontaneously. Prenatal ultrasound at 24 weeks of gestation indicated twin-twin transfusion syndrome (stage Ⅲ), and radiofrequency ablation for fetal reduction was successfully performed after formal consent. At 28 +6 weeks, ultrasound reexamination revealed significant edema in the left foot of the fetus, with banding around the ankle, as well as the strangulation mark and narrowing rings. Fetal ABS (ⅡB stage) was diagnosed after multidisciplinary consultation. An immediate emergency cesarean section was performed and a live male baby was born. A thin amniotic band could be seen wrapping around the left ankle of the newborn for several rounds, with obvious strangulation marks about 1 cm deep into the skin, and significant edema on the dorsum and sole of the foot, and the submalleolus area. The amniotic band was released at once, and the edema faded gradually after surgery. After a follow-up of 28 days, the lower limbs of the newborn became normal.
