Prune belly syndrome is a rare congenital disorder, belonging to the group of fetal lower urinary tract obstructions (LUTO), involving variable dilation of the lower. RELATO DE CASO. Síndrome de Prune Belly. Prune Belly syndrome. Roni Leonardo Teixeira, ACBC- SP; Alexandre Petreca; Patrícia Andréa Torres Garcia. Abstract. TEIXEIRA, Roni Leonardo; PETRECA, Alexandre and GARCIA, Patrícia Andréa Torres. Prune Belly syndrome. Rev. Col. Bras. Cir. [online].

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Vesicoureteral reflux is common in these patients. Together we are strong.

Prune belly syndrome

Blood and pus in the urine hematuria and pyuria often signal infection. Postnatal diagnosis is based on characteristic clinical findings, assessment of pulmonary function, ultrasound and voiding cystourethrogram. Patterns of inheritance in familial prune belly syndrome. American Urological Association Disclosure: Prune belly anomalies in a girl with Down syndrome.

Greskovich and Nyberg gave a review in which they stated incorrectly that the term prune belly syndrome was coined by Osler. For all other sindeome, please send your remarks via contact us. One such family has been reported. Detailed information Article for general public Svenska This theory has been replaced by a new notion that the obstruction may be caused by severe angulation sindroome the prostatic and membranous urethral junction.

Prune belly syndrome occurs with variable degrees of severity. Sindroem that the previously attenuated fascial defect has been covered by reapproximated muscle.


Fetal ascites, which may be transient because the urine is reabsorbed before birth, may explain the abdominal wall defects.

Causes The exact cause of Prune Belly syndrome is unknown. Obstruction of the neck of the bladder is the primary problem, resulting in prne distention and urine retention. Prunr abundance of fibrous tissue, collagen, and connective tissue with sparsely placed smooth muscle throughout the urinary tract indicates more of a mesodermal differentiation problem than one of obstruction. In young children, frequent urinary tract infections often herald prune belly syndrome, as they are normally uncommon.

Unfortunately, this theory does not explain the abnormalities in the development of the upper urinary tract or male genital tract. University of Utah Health Sciences Center. The authors postulate that the mesodermal defect may account for the aneurysm. In cases of siblings with Prune Belly Syndrome and mosaicism, peune genetic etiology has been suggested but the majority of cases are of a sporadic nature.

Sign Up It’s Free! Pathophysiology InStrumme proposed that prune belly syndrome may be caused by in utero bladder obstruction, stating that dilatation of the urinary tract in utero leads to secondary-pressure atrophy of the abdominal wall and the subsequent clinical findings. Prune-belly syndrome in sihdrome year-old man.

Some studies have reported abdominal wall defects without urologic anomalies.


Early decompression of severe bladder outlet obstruction that contributes to oligohydramnios is advised. No definitive timing for treatment of prune belly syndrome has been substantiated. In the second family the affected boys’ mothers were half sisters; they had different maternal grandmothers.


To attest to this, the author has seen several patients who have previously undergone reimplantation but then developed ureteral strictures of the distal reimplanted ureters and required another bellly. Autosomal dominant and X linked inheritances have been observed. The syndrome is associated with pulmonary, skeletal, cardiac, and gastrointestinal defects and may be associated with atresia of the urethra see this term.

A homozygous mutation in the muscarinic cholinergic receptor-3 gene CHRM3 on chromosome 1q43 was reported in one family. Four valves in prune belly syndrome.

Pages with citations lacking titles Pages with citations having bare URLs Infobox medical condition new. Surgery is often required but will not return the organs to a normal size. This page was last edited on 6 Augustat A full understanding of the complications will involve imaging tests such as ultrasound, X-ray, and, in order bellt determine the extent of involvement of the genitourinary tract, intravenous pyelogram IVP.