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Amniotic Band Syndrome
Anne M. Kennedy, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Synonyms

              • ADAM (amniotic deformity, adhesion, mutilation)
              • Amniotic disruption complex
              • Streeter dysplasia/bands
              • Congenital constriction bands
            • Definitions

              • Controversial but simplest concept is entrapment of fetal parts by disrupted amnion

            IMAGING

            • General Features

              • Ultrasonographic Findings

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      • Staging, Grading, & Classification

                        CLINICAL ISSUES

                        • Presentation

                          • Demographics

                            • Natural History & Prognosis

                              • Treatment

                                DIAGNOSTIC CHECKLIST

                                • Image Interpretation Pearls

                                  • Reporting Tips

                                    Selected References

                                    1. Capone AC et al: Novel techniques for the surgical management of abdominopelvic constriction rings in amniotic band syndrome. Plast Reconstr Surg. 135(2):563-8, 2015
                                    2. Iqbal CW et al: Amniotic band syndrome: a single-institutional experience. Fetal Diagn Ther. 37(1):1-5, 2015
                                    3. Mathis J et al: Fetal laser therapy: applications in the management of fetal pathologies. Prenat Diagn. 35(7):623-36, 2015
                                    4. Menekse G et al: Placento-cranial adhesions in amniotic band syndrome and the role of surgery in their management: an unusual case presentation and systematic literature review. Pediatr Neurosurg. 50(4):204-9, 2015
                                    5. Prasetyono TO et al: A review on the safety of one-stage circumferential ring constriction release. Int Surg. 100(2):341-9, 2015
                                    6. Ting YH et al: Pseudoamniotic band syndrome after in utero intervention for twin-to-twin transfusion syndrome: case reports and literature review. Fetal Diagn Ther. ePub, 2015
                                    7. Javadian P et al: Perinatal outcome after fetoscopic release of amniotic bands: a single-center experience and review of the literature. Ultrasound Obstet Gynecol. 42(4):449-55, 2013
                                    8. Cignini P et al: Epidemiology and risk factors of amniotic band syndrome, or ADAM sequence. J Prenat Med. 6(4):59-63, 2012
                                    9. Hunter AG et al: Limb-body wall defect. Is there a defensible hypothesis and can it explain all the associated anomalies? Am J Med Genet A. 155A(9):2045-59, 2011
                                    10. Hüsler MR et al: When is fetoscopic release of amniotic bands indicated? Review of outcome of cases treated in utero and selection criteria for fetal surgery. Prenat Diagn. 29(5):457-63, 2009
                                    11. Peiró JL et al: Fetoscopic release of umbilical cord amniotic band in a human fetus. Ultrasound Obstet Gynecol. 33(2):232-4, 2009
                                    12. Haider EA et al: Fetal survival following decapitation. Ultrasound Obstet Gynecol. 31(2):223-4, 2008
                                    13. Inubashiri E et al: 3D and 4D sonographic imaging of amniotic band syndrome in early pregnancy. J Clin Ultrasound. 36(9):573-5, 2008
                                    14. Chen CP et al: Prenatal sonographic diagnosis of acrania associated with amniotic bands. J Clin Ultrasound. 32(5):256-60, 2004
                                    15. Marino T: Ultrasound abnormalities of the amniotic fluid, membranes, umbilical cord, and placenta. Obstet Gynecol Clin North Am. 31(1):177-200, 2004
                                    16. Paladini D et al: Congenital constriction band of the upper arm: the role of three-dimensional ultrasound in diagnosis, counseling and multidisciplinary consultation. Ultrasound Obstet Gynecol. 23(5):520-2, 2004
                                    17. Chen CP et al: Prenatal diagnosis of acrania associated with facial defects, amniotic bands and limb-body wall complex. Ultrasound Obstet Gynecol. 20(1):94-5, 2002
                                    18. Chen CP: Prenatal diagnosis of limb-body wall complex with craniofacial defects, amniotic bands, adhesions and upper limb deficiency. Prenat Diagn. 21(5):418-9, 2001
                                    19. Strauss A et al: Intra-uterine fetal demise caused by amniotic band syndrome after standard amniocentesis. Fetal Diagn Ther. 15(1):4-7, 2000
                                    20. Bronshtein M et al: Do amniotic bands amputate fetal organs? Ultrasound Obstet Gynecol. 10(5):309-11, 1997
                                    21. Quintero RA et al: In utero lysis of amniotic bands. Ultrasound Obstet Gynecol. 10(5):316-20, 1997
                                    22. Tadmor OP et al: Limb amputation in amniotic band syndrome: serial ultrasonographic and Doppler observations. Ultrasound Obstet Gynecol. 10(5):312-5, 1997
                                    23. Weinzweig N: Constriction band-induced vascular compromise of the foot: classification and management of the "intermediate" stage of constriction-ring syndrome. Plast Reconstr Surg. 96(4):972-7, 1995
                                    24. Mahony BS et al: The amniotic band syndrome: antenatal sonographic diagnosis and potential pitfalls. Am J Obstet Gynecol. 152(1):63-8, 1985
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Terminology

                                      • Imaging

                                        • Top Differential Diagnoses

                                          • Clinical Issues

                                            • Diagnostic Checklist

                                              TERMINOLOGY

                                              • Synonyms

                                                • ADAM (amniotic deformity, adhesion, mutilation)
                                                • Amniotic disruption complex
                                                • Streeter dysplasia/bands
                                                • Congenital constriction bands
                                              • Definitions

                                                • Controversial but simplest concept is entrapment of fetal parts by disrupted amnion

                                              IMAGING

                                              • General Features

                                                • Ultrasonographic Findings

                                                  • Imaging Recommendations

                                                    DIFFERENTIAL DIAGNOSIS

                                                      PATHOLOGY

                                                      • General Features

                                                        • Staging, Grading, & Classification

                                                          CLINICAL ISSUES

                                                          • Presentation

                                                            • Demographics

                                                              • Natural History & Prognosis

                                                                • Treatment

                                                                  DIAGNOSTIC CHECKLIST

                                                                  • Image Interpretation Pearls

                                                                    • Reporting Tips

                                                                      Selected References

                                                                      1. Capone AC et al: Novel techniques for the surgical management of abdominopelvic constriction rings in amniotic band syndrome. Plast Reconstr Surg. 135(2):563-8, 2015
                                                                      2. Iqbal CW et al: Amniotic band syndrome: a single-institutional experience. Fetal Diagn Ther. 37(1):1-5, 2015
                                                                      3. Mathis J et al: Fetal laser therapy: applications in the management of fetal pathologies. Prenat Diagn. 35(7):623-36, 2015
                                                                      4. Menekse G et al: Placento-cranial adhesions in amniotic band syndrome and the role of surgery in their management: an unusual case presentation and systematic literature review. Pediatr Neurosurg. 50(4):204-9, 2015
                                                                      5. Prasetyono TO et al: A review on the safety of one-stage circumferential ring constriction release. Int Surg. 100(2):341-9, 2015
                                                                      6. Ting YH et al: Pseudoamniotic band syndrome after in utero intervention for twin-to-twin transfusion syndrome: case reports and literature review. Fetal Diagn Ther. ePub, 2015
                                                                      7. Javadian P et al: Perinatal outcome after fetoscopic release of amniotic bands: a single-center experience and review of the literature. Ultrasound Obstet Gynecol. 42(4):449-55, 2013
                                                                      8. Cignini P et al: Epidemiology and risk factors of amniotic band syndrome, or ADAM sequence. J Prenat Med. 6(4):59-63, 2012
                                                                      9. Hunter AG et al: Limb-body wall defect. Is there a defensible hypothesis and can it explain all the associated anomalies? Am J Med Genet A. 155A(9):2045-59, 2011
                                                                      10. Hüsler MR et al: When is fetoscopic release of amniotic bands indicated? Review of outcome of cases treated in utero and selection criteria for fetal surgery. Prenat Diagn. 29(5):457-63, 2009
                                                                      11. Peiró JL et al: Fetoscopic release of umbilical cord amniotic band in a human fetus. Ultrasound Obstet Gynecol. 33(2):232-4, 2009
                                                                      12. Haider EA et al: Fetal survival following decapitation. Ultrasound Obstet Gynecol. 31(2):223-4, 2008
                                                                      13. Inubashiri E et al: 3D and 4D sonographic imaging of amniotic band syndrome in early pregnancy. J Clin Ultrasound. 36(9):573-5, 2008
                                                                      14. Chen CP et al: Prenatal sonographic diagnosis of acrania associated with amniotic bands. J Clin Ultrasound. 32(5):256-60, 2004
                                                                      15. Marino T: Ultrasound abnormalities of the amniotic fluid, membranes, umbilical cord, and placenta. Obstet Gynecol Clin North Am. 31(1):177-200, 2004
                                                                      16. Paladini D et al: Congenital constriction band of the upper arm: the role of three-dimensional ultrasound in diagnosis, counseling and multidisciplinary consultation. Ultrasound Obstet Gynecol. 23(5):520-2, 2004
                                                                      17. Chen CP et al: Prenatal diagnosis of acrania associated with facial defects, amniotic bands and limb-body wall complex. Ultrasound Obstet Gynecol. 20(1):94-5, 2002
                                                                      18. Chen CP: Prenatal diagnosis of limb-body wall complex with craniofacial defects, amniotic bands, adhesions and upper limb deficiency. Prenat Diagn. 21(5):418-9, 2001
                                                                      19. Strauss A et al: Intra-uterine fetal demise caused by amniotic band syndrome after standard amniocentesis. Fetal Diagn Ther. 15(1):4-7, 2000
                                                                      20. Bronshtein M et al: Do amniotic bands amputate fetal organs? Ultrasound Obstet Gynecol. 10(5):309-11, 1997
                                                                      21. Quintero RA et al: In utero lysis of amniotic bands. Ultrasound Obstet Gynecol. 10(5):316-20, 1997
                                                                      22. Tadmor OP et al: Limb amputation in amniotic band syndrome: serial ultrasonographic and Doppler observations. Ultrasound Obstet Gynecol. 10(5):312-5, 1997
                                                                      23. Weinzweig N: Constriction band-induced vascular compromise of the foot: classification and management of the "intermediate" stage of constriction-ring syndrome. Plast Reconstr Surg. 96(4):972-7, 1995
                                                                      24. Mahony BS et al: The amniotic band syndrome: antenatal sonographic diagnosis and potential pitfalls. Am J Obstet Gynecol. 152(1):63-8, 1985