Amniotic band syndrome in triplet pregnancy

We present a case of amniotic band syndrome leading to encephalocele in one triplet. In this case, discordance in feta I growth was observed at 9 week s' gestation, and the amniotic membrane was not recognized in the sac of th e smallest fetus. Thus, significant first-trimester growth discordance in m ultifetal pregnancies suggests congenital anomalies, and examinations consi dering amniotic band syndrome should be performed. Absence of the amniotic membrane in the gestational sac may be a useful marker of amniotic band syn drome. Copyright (C) 1999 S.Karger AG, Basel.