Circumferential congenital scar on the lower limb due to amniotic band syndrome addressed with Wplasty

▪ ABSTRACT

Amniotic band syndrome (ABS) is defined as a condition in which chorioamniotic constriction occurs in fetal parts, causing congenital scars. Most commonly, it affects the upper and lower limbs and can cause growth restriction in the affected region. It can also result in intrauterine amputations, lymphedema, congenital clubfoot, syndactyly, and death. The stratification of the condition is given by the Patterson scale, which takes into account the ring formation and its consequences for the affected part. The objective of this work is to report the case of a female patient following an uneventful pregnancy who suffered involvement of the left lower limb by ABS. The scar caused growth restriction, requiring surgical repair treatment. We opted for the Wplasty approach, so that, in the immediate and late postoperative period, the scar retraction was properly corrected, without signs of dehiscence or inflammation in the region.

Keywords:

Congenital abnormalities - Cicatrix - Child - Case reports - Plastic surgery procedures

Institution: Serviço de Cirurgia Plástica e Microcirurgia, Hospital Universitário Walter Cantídio, Fortaleza, CE, Brazil.

Publication History

Received: 15 December 2023

Accepted: 27 July 2024

Article published online:
22 May 2025

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