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Case Reports
. 2013 Jul;56(4):265-8.
doi: 10.5468/ogs.2013.56.4.265. Epub 2013 Jul 15.

Prune-belly syndrome detected by ultrasound in the first trimester and the usefulness of vesicocentesis as a modality of treatment

Mina Byon  1 , Gwang Jun Kim
Affiliations
Case Reports

Prune-belly syndrome detected by ultrasound in the first trimester and the usefulness of vesicocentesis as a modality of treatment

Mina Byon et al. Obstet Gynecol Sci. 2013 Jul.

Abstract

Prune-belly syndrome may be related to lower urinary tract obstruction (LUTO). LUTO in the early gestational age exacerbates fetal renal function and may require intrauterine intervention. If early developed LUTO causes bladder distension and abdominal musculature deficiency, it will result in prune belly syndrome. Therefore, early detection of the disease and proper treatment before the renal impairment is important. However, there are few literatures concerning the treatment of prune belly syndrome in the first trimester. We report a case of prune belly syndrome diagnosed at 11+6 weeks of gestation and the value of vesicocentesis as a modality of treatment. Ultrasound showed dilated fetal bladder and vesicocentesis was successful in reducing the volume of the bladder. However, the pregnancy was terminated upon request.

Keywords: Cryptorchidism; Eagle-Barrett syndrome; Fetal percutaneous bladder puncture; Genitourinary malformation; Prune-belly syndrome.

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Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1
Fetal bladder (A) dilated fetal bladder (BL) around which umbilical arteries are shown (color Doppler), bladder size 2.7×2.5 cm. (B) Collapsed fetal bladder (arrow head) after vesicocentesis.
Fig. 2
Fig. 2
Postmortem appearance. (A) Cleft lip (arrow) and palate (arrow head). (B) Polydactyly (arrow).
See this image and copyright information in PMC

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