Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2021 May 26;9(5):e3594.
doi: 10.1097/GOX.0000000000003594. eCollection 2021 May.

Amniotic Band Syndrome in Adult Combined with Persistent Depressive Disorder

Jerzy Kolasinski  1 , Malgorzata Kolenda  1 , Dominika Kolasinska  1
Affiliations
Case Reports

Amniotic Band Syndrome in Adult Combined with Persistent Depressive Disorder

Jerzy Kolasinski et al. Plast Reconstr Surg Glob Open. .

Abstract

Congenital amniotic band syndrome (ABS) is an anomaly with no proven etiology occurring in 0.7 per 10,000 live births. This defect mostly concerns the extremities and is often accompanied by other developmental anomalies. There are many methods of treatment for this type of defect, such as simple excision and suturing, local V-Y plasty, Z-plasty, multiple Z "plasties" or multiple W plasties, plasty with deepithelized or non-deepithelized rectangular lobes, and rigottomies complemented with lipofilling. The literature most often describes cases of treated children. There are no case reports of ABS treatment in adults. However, failure to undertake such treatment in childhood may result in serious mental dysfunction. We present the case of a 39-year-old woman with congenital ABS, in whom failure to provide proper treatment in childhood resulted in persistent depressive disorder development. The applied treatment, consisting of multiple Z plasties, liposuction, and fat grafting, resulted in improved appearance of her lower extremity, as well as the cessation of mental symptoms.

PubMed Disclaimer

Conflict of interest statement

Disclosure: All the authors have no financial interest to declare in relation to the content of this article.

Figures

Fig. 1.
Fig. 1.
Appearance before the treatment. Constriction between the middle and lower third of the left leg, with excessive adipose tissue development above and below the fibrous ring.
Fig. 2.
Fig. 2.
No distal phalanx of the 3rd finger in her left hand, with circular constriction in the distal part of the 4th finger in her left hand.
Fig. 3.
Fig. 3.
Total syndactyly of the toes in the right foot, syndactyly of toes 1 and 2 of the left foot, and absence of toe 4 of the left foot.
Fig. 4.
Fig. 4.
Appearance 5 years after the treatment. Visible correction of the left leg outline and fainting and smoothing of the scar after multiple Z plasties.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Patterson TJ. Congenital ring-constrictions. Br J Plast Surg. 1961; 14:1–31. - PubMed
    1. Granick MS, Ramasastry S, Vries J, et al. . Severe amniotic band syndrome occurring with unrelated syndactyly. Plast Reconstr Surg. 1987; 80:829–832. - PubMed
    1. Mutaf M, Sunay M. A new technique for correction of congenital constriction rings. Ann Plast Surg. 2006; 57:646–652. - PubMed
    1. Napiontek M, Harasymczuk J. Surgical treatment of active amniotic band syndrome (ABS) by Z-plasty and radical excision of the overgrown tissue. A report of 2 cases with progressive lymphedema causing vascular insufficiency. J Pediatr Orthop. 2015; 35:516–518. - PubMed
    1. Tan PL, Chiang YC. Triangular flaps: a modified technique for the correction of congenital constriction ring syndrome. Hand Surg. 2011; 16:387–393. - PubMed

Publication types

LinkOut - more resources