Prune-belly syndrome detected by ultrasound in the first trimester and the usefulness of vesicocentesis as a modality of treatment.
10.5468/ogs.2013.56.4.265
- Author:
Mina BYON
1
;
Gwang Jun KIM
Author Information
1. Department of Obstetrics and Gynecology, Chung-Ang University College of Medicine, Seoul, Korea. gjkim@cau.ac.kr
- Publication Type:Case Report
- Keywords:
Cryptorchidism;
Eagle-Barrett syndrome;
Fetal percutaneous bladder puncture;
Genitourinary malformation;
Prune-belly syndrome
- MeSH:
Cryptorchidism;
Female;
Gestational Age;
Humans;
Male;
Pregnancy;
Pregnancy Trimester, First;
Prune Belly Syndrome;
Urinary Bladder;
Urinary Tract
- From:Obstetrics & Gynecology Science
2013;56(4):265-268
- CountryRepublic of Korea
- Language:English
-
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.
