Complex of deformities, adhesions and amniotic amputations involving the umbilical cord

Amniotic deformities, adhesions and amputations complex is a clinical entity characterised by the formation of bands that constrict fetal structures, causing disruptions in the fetus. Although it predominantly affects the limbs and face, involvement of the umbilical cord is extremely rare and poorly documented in the literature. This case study involved an amniotic deformities, adhesions and amputations complex with umbilical cord involvement. The article analyses its contribution to fetal death in a 21-year-old primigravida at 29 weeks' gestation who presented with absence of fetal movements. Ultrasound evaluation revealed fetal demise. Fetal autopsy showed minor malformations. Examination of the placenta identified a constrictive amniotic band in the umbilical cord. Umbilical cord involvement in the amniotic deformities, adhesions and amputations sequence is a rare manifestation with serious consequences. This case underscores the importance of rigorous antenatal follow up for early detection of this condition and highlights the need for further research to optimise potential clinical interventions in such cases.