Sonographic Diagnosis of Amniotic Band Syndrome and its Risk Factors

Dr Vidhi Sahni, Dr Deepak Sharma

Abstract: Objective The aim of this study was to describe our experience with amniotic band syndrome (ABS), define specific sonographic characteristics and common features. Methods Patients diagnosed with ABS underwent detailed ultrasound evaluation at the time of diagnosis and during follow-up. Their ultrasound examinations and medical records concerning the current pregnancy and past medical records were analyzed. Results Ten pregnancies were diagnosed with ABS. Most pregnancies were diagnosed at the beginning of the second trimester. Two cases were bichorionic twin pregnancies involving one of the fetuses and these were the only women who continued their pregnancies to term. The other eight cases with ABS chose to terminate their pregnancies. One pregnancy was conceived following trachelectomy. We found a significantly higher rate of prior uterine surgeries (p0.008) in patient with ABS compared to control. Conclusions ABS diagnosed in early pregnancy can be a sporadic event. However, there is a higher risk of ABS in pregnancies preceded by uterine procedures.

Keywords: amniotic band syndrome, ultrasound, previous uterine surgery