Amniotic Band Syndrome

Amniotic band syndrome (ABS) is a set of congenital malformations attributed to amniotic bands that entangle fetal parts during intrauterine life, which results in a broad spectrum of anatomic disturbances ranging from minor constriction rings and lymphedema of the digits to complex, bizarre multiple congenital anomalies incompatible with life. ABS is not very often, but should be considered in every newborn with congenital anomalies, especially defects of extremities and/or body walls. ABS can be diagnosed prenatally by ultrasound; otherwise, the defects are seen after birth. Child's karyotyping is of great importance, in order to avoid misdiagnosis and incorrect information of recurrence risk. A team of specialists should be included in the treatment and follow-up of children with ABS, according to individual needs of every single patient. The aim of this paper is to point out diagnostic and therapeutic approaches in newborns with ABS trough the report of two cases. Acta Medica Medianae 2009;48(2):44-48.