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Published on: June 29, 2013
[Prune belly syndrome: early prenatal diagnosis and management]
Jamel Kraiem1, Youssef Ben Brahim, Hassen Jouini
1Clinique universitaire de gynécologie-obstétrique, Hôpital Mohamed Tiaili de Nabeul.
Insights
Prune Belly syndrome, a condition involving abdominal wall deficiency and urinary tract issues, can be diagnosed earlier in gestation. This study highlights two early Prune Belly syndrome diagnoses, aiding future prenatal detection.
Area of Science:
- Medical Genetics
- Prenatal Diagnosis
- Pediatric Surgery
Background:
- Prune Belly syndrome is a rare congenital disorder.
- It is characterized by abdominal wall muscle deficiency, urinary tract abnormalities (like megacystis), and undescended testes (bilateral cryptorchidism).
Observation:
- The study presents two cases of Prune Belly syndrome.
- These cases were diagnosed at 11 and 14 weeks of gestation.
- Diagnosis is typically easier after 15 weeks but can be challenging earlier.
Findings:
- Early diagnosis of Prune Belly syndrome is feasible.
- The cases demonstrate successful prenatal identification at 11 and 14 weeks.
- Literature review supports early diagnostic possibilities.
Implications:
- Earlier diagnosis allows for timely genetic counseling and management planning.
- Improved understanding of Prune Belly syndrome diagnosis aids in better prenatal care.
- This research can inform obstetricians and geneticists about early detection markers.
Abstract:
Prune Belly syndrome is characterized by a combination of megacystis, anterior abdominal wall distension with deficiency of the abdominal wall musculature, and bilateral cryptorchidism. Diagnosis is easy after 15 weeks of gestation, but may be difficult at the end of the first term. Authors report 2 cases of Prune Belly syndrome diagnosed at 11 and 14 weeks of gestation respectively. After literature review, diagnosis and prognosis particularities of this syndrome are discussed.
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