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[Prune-belly syndrome prenatal diagnosis]
Mircea Onofriescu1, D Nemescu, Carmina Schas
1Universitatea de Medicină Gr.T. Popa Iaşi, Facultatea de Medicină, Clinica I Obstetrică Ginecologie, Maternitatea Cuza-Vodă Iaşi.
Summary
Ultrasonography can diagnose Prune-belly syndrome by the 19th week of gestation. This condition involves abdominal wall defects and urinary issues, but prognosis varies, not always warranting abortion.
Area of Science:
- Perinatology
- Medical Imaging
- Pediatric Surgery
Background:
- Prune-belly syndrome, a rare congenital disorder, is characterized by abdominal wall musculature deficiency, urinary tract abnormalities, and cryptorchidism in males.
- Antenatal diagnosis is crucial for managing this complex condition.
Observation:
- This case highlights the ultrasonographic diagnosis of Prune-belly syndrome at 19 weeks of gestation.
- Key ultrasonographic findings included abdominal wall distension and suspected urinary tract anomalies.
Findings:
- Pathologic examination confirmed the absence of anterior abdominal wall striated muscles, bladder hypertrophy, and urethral atresia.
- The study underscores the feasibility of prenatal diagnosis through advanced imaging techniques.
Implications:
- Early and accurate diagnosis of Prune-belly syndrome enables timely intervention and management planning.
- The variable prognosis suggests that termination of pregnancy may not always be the recommended course of action.
