RESUMO
Extra-amniotic pregnancy, which is caused by rupture of amniotic membranes only, is a rare event during pregnancy. This differs from extra-membranous pregnancy in which both chorionic and amniotic membranes rupture. Extra-amniotic pregnancy requires attention by an obstetrician not to miss fetal anomalies because extra-amniotic pregnancy may accompany with fibrous band syndrome. We experienced a case of extraamniotic pregnancy with congenital amputation of bilateral fetal hands. And we report it with brief review of literatures.
Assuntos
Recém-Nascido , Gravidez , Âmnio , Síndrome de Bandas Amnióticas , Amputação Cirúrgica , Córion , Mãos , Complicações na Gravidez , RupturaRESUMO
Extra-amniotic pregnancy, which is caused by rupture of amniotic membranes only, is a rare event during pregnancy. This differs from extra-membranous pregnancy in which both chorionic and amniotic membranes rupture. Extra-amniotic pregnancy requires attention by an obstetrician not to miss fetal anomalies because extra-amniotic pregnancy may accompany with fibrous band syndrome. We experienced a case of extraamniotic pregnancy with congenital amputation of bilateral fetal hands. And we report it with brief review of literatures.
Assuntos
Recém-Nascido , Gravidez , Âmnio , Síndrome de Bandas Amnióticas , Amputação Cirúrgica , Córion , Mãos , Complicações na Gravidez , RupturaRESUMO
Congenital myotonic dystrophy is an autosomal dominantly inherited myotonic dystrophy, rare form, with an incidence estimated to be 13/100,000 liveborns. Affected newborns can present with intrauterine growth retardation, prematurity, birth asphyxia, respiratory distress, and always exhibit generalized muscular hypotonia. Feeding problems are common and an association with protein losing enteropathy, hydrops fetalis, and persistent pulmonary hypertension of the newborn has been described. Twenty-five percent of the affected infants die within the first 18 months of life. The molecular basis is an unstable DNA fragment consisting of a variable expansion of a CTG triplet, Dystrophia myotonica-protein kinase (DMPK) which is localized on chromosome 19q 13.3. The severity of the disease is directly correlated to the length of the CTG sequence. Women with idiopathic polyhydroamnios, decreased fetal movement, prematurity, hypotonia, should be counselled family, and mother, father and baby should be evaluated congenital myotonic dystrophy, as PCR (polymerase chain reaction). It is possible to diagnose congenital myotonic dystrophy, by PCR, antenatal test, such as CVS, amniocentensis. We experienced a case of recurrent congenital myotonic dystrophy, with neonatal death, twice, and report with a review of related literatures.
Assuntos
Feminino , Humanos , Lactente , Recém-Nascido , Asfixia , DNA , Pai , Retardo do Crescimento Fetal , Movimento Fetal , Hidropisia Fetal , Hipertensão Pulmonar , Incidência , Mães , Hipotonia Muscular , Distrofia Miotônica , Parto , Fosfotransferases , Reação em Cadeia da Polimerase , Enteropatias Perdedoras de Proteínas , TrigêmeosRESUMO
No abstract available.