PMC4813076_01
(A) Short lower limb (B) Constriction in the lower limb (arrow) (C)Postnatal picture showing amputation of the left leg and constriction of the right lower limb
IJRI-26-63-g001.jpg
PMC4813076_01_IJRI-26-63-g001.jpg
F1
The left lower leg was short [Figure 1A] with the tibia and fibula measuring16mm compared to 31 mm on the right side. On the right side, a constriction was seen in the calf [Figure 1B]. The postnatal picture confirmed our diagnosis of amniotic band syndrome [Figure 1C].
PMC4813076_02
(A) Amniotic band seen attached to the lower limb (arrow) (B) Ultrasound image and post-abortal picture of the lower limbs showing oligodactyly and inversion of foot (C) Ultrasound image and post-abortal picture of the fetus, with the amniotic band bridging the hands(arrow), with brachydactyly and syndactyly (broad arrow)
IJRI-26-63-g002.jpg
PMC4813076_02_IJRI-26-63-g002.jpg
F2
A membrane was seen attached to the lower limb, restricting the movement of the limb [Figure 2A, Video 2]. The right foot was acutely dorsiflexed with oligodactyly- only one toe could be seen and the left foot had inversion [Figure 2B]. A band was seen connecting the hands [Figure 2C].
PMC4813076_03
(A) Bilateral cleft lip palate (arrows) (B) Image showing distortion of calvarium (arrow) (C) Image showing frontal bossing with discontinuity of bone (arrow) (D) Membrane seen by the side of the head (E) Post abortal picture
IJRI-26-63-g003.jpg
PMC4813076_03_IJRI-26-63-g003.jpg
F3
The fetus was detected to have multiple anomalies - bilateral cleft lip and palate [Figure 3A], distorted calvarium [Figure 3B], severe frontal bossing with discontinuity of the frontal bone [Figure 3C], and a band was seen near the fetal head moving along with the fetus [Figure 3D]. In the scalp there was a localized area of aplasia cutis and a membrane was attached to that area [Figure 3E].