3D/4D sonographic evaluation of amniotic band syndrome in early pregnancy: A supplement to 2D ultrasound

We present two cases of amniotic band syndrome diagnosed using two‐dimensional (2D) ultrasound with three‐dimensional (3D)/four‐dimensional (4D) ultrasound in early pregnancy. In Case 1, at 13 weeks' gestation, multiple amniotic bands, acrania, the absence of fingers and amputation of the toes bilaterally were clearly shown using transvaginal 3D/4D ultrasound. In Case 2, at 15 weeks' gestation, several amniotic bands, acrania and a cleft lip were depicted with transabdominal 3D/4D ultrasound. The spatial relationship between the amniotic bands and the fetus was clearly visualized and easily discernible by 3D/4D ultrasound. The parents and families could readily understand the fetal conditions and undergo counseling; they then choose the option of termination of pregnancy. 3D/4D ultrasound has the potential to be a supplement to conventional 2D ultrasound in evaluating amniotic band syndrome.

[1]  A. Benachi,et al.  Three‐dimensional ultrasonographic measurements of the fetal lungs for prediction of perinatal outcome in isolated congenital diaphragmatic hernia , 2009, The journal of obstetrics and gynaecology research.

[2]  K. Kanenishi,et al.  Three‐dimensional volume‐rendered imaging of embryonic brain vesicles using inversion mode , 2009, The journal of obstetrics and gynaecology research.

[3]  E. Inubashiri,et al.  3D and 4D sonographic imaging of amniotic band syndrome in early pregnancy , 2008, Journal of clinical ultrasound : JCU.

[4]  F. Bonilla-musoles,et al.  Prenatal diagnosis of congenital cystic adenomatoid malformation using three‐dimensional inversion rendering: A case report , 2008, The journal of obstetrics and gynaecology research.

[5]  K. Chao,et al.  Prenatal diagnosis of schizencephaly with septo‐optic dysplasia by ultrasound and magnetic resonance imaging , 2008, The journal of obstetrics and gynaecology research.

[6]  B. Uerpairojkit,et al.  Prenatal three‐dimensional ultrasonography in a case of agnathia‐otocephaly , 2008, The journal of obstetrics and gynaecology research.

[7]  Hirokazu Tanaka,et al.  Real‐time three‐dimensional color Doppler fetal echocardiographic features of congenital heart disease , 2008, The journal of obstetrics and gynaecology research.

[8]  Y. Nishiyama,et al.  Does three‐dimensional power Doppler ultrasound improve the diagnostic accuracy for the prediction of adnexal malignancy? , 2008, The journal of obstetrics and gynaecology research.

[9]  A. Moron,et al.  Diagnosis of ovarian torsion by three‐dimensional power Doppler in first trimester of pregnancy , 2008, The journal of obstetrics and gynaecology research.

[10]  Chih-ping Chen,et al.  Prenatal sonographic diagnosis of acrania associated with amniotic bands , 2004, Journal of clinical ultrasound : JCU.

[11]  D. Paladini,et al.  Congenital constriction band of the upper arm: the role of three‐dimensional ultrasound in diagnosis, counseling and multidisciplinary consultation , 2004, Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology.

[12]  Chaur-Dong Hsu,et al.  Prenatal Diagnosis of Acrania Associated With Amniotic Band Syndrome , 2003, Obstetrics and gynecology.

[13]  Y. Ville,et al.  The cobweb syndrome: first trimester sonographic diagnosis of multiple amniotic bands confirmed by fetoscopy and pathological examination. , 1998, Human reproduction.

[14]  T. Nishi,et al.  Amniotic band syndrome: Serial ultrasonographic observations in the first trimester , 1994, Journal of clinical ultrasound : JCU.

[15]  R. Filly,et al.  Sonographic diagnosis of the amniotic band syndrome. , 1991, AJR. American journal of roentgenology.