Amniotic Band Syndrome at the Van Norman Clinic in Burundi: A Case Series  

作　　者：Alice Ndayishimiye Hélène Bukuru Déogratias Niyungeko Anne Marie Nikuze Sylvestre Bazikamwe Jean Claude Mbonicura Gilbert Ndayizeye Alice Ndayishimiye;Hélène Bukuru;Déogratias Niyungeko;Anne Marie Nikuze;Sylvestre Bazikamwe;Jean Claude Mbonicura;Gilbert Ndayizeye(Department of Pediatrics, Kamenge University Hospital Center, Bujumbura, Burundi;Department of Obstetrics and Gynecology, Kamenge University Hospital Center, Bujumbura, Burundi;General Surgery Department, Kamenge University Hospital Center, Bujumbura, Burundi;Orthopaedy Department, Kamenge University Hospital Center, Bujumbura, Burundi)

机构地区：[1]Department of Pediatrics, Kamenge University Hospital Center, Bujumbura, Burundi [2]Department of Obstetrics and Gynecology, Kamenge University Hospital Center, Bujumbura, Burundi [3]General Surgery Department, Kamenge University Hospital Center, Bujumbura, Burundi [4]Orthopaedy Department, Kamenge University Hospital Center, Bujumbura, Burundi

出　　处：《Surgical Science》2024年第3期118-124,共7页外科学（英文）

摘　　要：Amniotic band syndrome is an acquired embryo-fetopathy. It is rare and is characterized by malformations mainly affecting the limbs but also the skull, face and thoraco-abdominal axis. Its etiopathogenesis remains poorly understood. Its diagnosis is essentially clinical and is classically based on the existence of signs such as furrows, amputations and pseudosyndactyly. To show the importance of antenatal diagnosis in resource-limited countries, we report the case of two newborns, one premature at 31 weeks and the other at term, in whom amniotic band syndrome was discovered incidentally at birth. It involved an amputation of the right leg for both cases. The premature baby was born in a context of neonatal sepsis and will succumb to the latter while the 2nd case was released from the hospital alive. Imaging examinations to search for probable congenital malformations could only be carried out for the 2nd case and no accessible congenital malformation had been identified. And as management of the disease, only psychological support to the parents was provided for the 2 cases. The antenatal discovery of a case of amniotic band syndrome in countries with low technical capacity such as Burundi should push clinicians to think in time about treatment options.Amniotic band syndrome is an acquired embryo-fetopathy. It is rare and is characterized by malformations mainly affecting the limbs but also the skull, face and thoraco-abdominal axis. Its etiopathogenesis remains poorly understood. Its diagnosis is essentially clinical and is classically based on the existence of signs such as furrows, amputations and pseudosyndactyly. To show the importance of antenatal diagnosis in resource-limited countries, we report the case of two newborns, one premature at 31 weeks and the other at term, in whom amniotic band syndrome was discovered incidentally at birth. It involved an amputation of the right leg for both cases. The premature baby was born in a context of neonatal sepsis and will succumb to the latter while the 2nd case was released from the hospital alive. Imaging examinations to search for probable congenital malformations could only be carried out for the 2nd case and no accessible congenital malformation had been identified. And as management of the disease, only psychological support to the parents was provided for the 2 cases. The antenatal discovery of a case of amniotic band syndrome in countries with low technical capacity such as Burundi should push clinicians to think in time about treatment options.

关 键 词：Amniotic Band Syndrome Embryo-Fetopathies Antenatal Diagnosis LIMBS 

分 类 号：R73[医药卫生—肿瘤]