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Gaceta Médica Boliviana
Print version ISSN 1012-2966On-line version ISSN 2227-3662
Abstract
MOLINA MALDONADO, Juan Carlos et al. Amniotic Band Syndrome. Gac Med Bol [online]. 2010, vol.33, n.1, pp.44-48. ISSN 1012-2966.
We describe the case of a 18 years oíd primigrávida, native of Cochabamba, with 30 weeks of gestation, with a history of premature rupture of membranes dated 1 month ago, to whom conservative medical treatment was instituted, in the Materno Infantil "Germán Urquidi" Hospital of Cochabamba, for a period of 13 days, where antibiotic therapy was ad-ministered, pulmonary fetal maturation was induced; laboratory, ultrasound, and fetal wellbeing tests were applied, pre-senting a favorable evolution. The patient and family requested her discharge. Following the discharge, (4 days later) the patient was readmitted to the facility, with clinical signs of chorioamnionitis, and labor process, reason why it was decided to termínate the pregnancy by caesarean section; where a male new born was given birth, with structural changes in upper and lower extremities, like constriction bands, compatible with Amniotic Constriction Bands Syndrome, being the probable etiology of amnion rupture. We reviewed some aspects of its low prevalence, risk factors, different etiological hypotheses, diagnosis and therapeutic management.
Keywords : Amniotic constriction bands; amniotic rupture; pregnancy.