Anat Cell Biol.  2018 Sep;51(3):205-208. 10.5115/acb.2018.51.3.205.

Exploration of the fetus with gross anomaly: a case of pseudo prune belly syndrome

• Valappil B
• Krishna L
• Sreedharan R
• Shetty A

• KMID: 2447014
• DOI: http://doi.org/10.5115/acb.2018.51.3.205

Abstract

Prune belly syndrome is a rare congenital anomaly usually presented with triad characteristic feature of deficient abdominal muscles, cryptorchidism, and urinary tract anomalies. Here, we present a case with all the characteristic features of prune belly and the associated secondary features which were observed on detailed dissection and exploration of the fetus.

Keyword

Enlarged abdomen; Imperforate anus; Cryptorchidism; Hydronephrosis; Prune belly syndrome

MeSH Terms

Abdominal Muscles
Anus, Imperforate
Cryptorchidism
Fetus*
Hydronephrosis
Male
Prune Belly Syndrome*
Urinary Tract

Figure

• 

  Fig. 1 (A) Fetus with potter's facies, unusually large and distended abdomen, and the external genitalia showed the scrotum devoid of the testis and the penis appeared larger than usual (mega penis). The lower limb presented bilateral club feet. (B) The abdominal muscle after the reflection of skin. (C) Absence of anal opening in the fetus (imperforate anus).

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  Fig. 2 (A) Abdominal cavity after opening the peritoneal cavity with abnormal the urinary tract i.e. unusually large bladder (mega cystitis), bilateral hydroureter with dilated and thin-walled ureters and bilateral hydronephrosis. Underdeveloped and undescended right and left testes is observed close to the lateral abdominal wall lateral to the ureter. (B) The urinary system with the anomalies after its removal from the abdominal cavity.

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  Fig. 3 Sagittally slit mega penis with canalized penile urethra and the noncanalised prostatic urethra which showed the presence of septum.

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  Fig. 4 (A) Distended sigmoid colon filled with fecal matter/meconium, and narrow rectum which did not continue distally. (B) Rectum forming an atretic cord and appearing to be connected to the median lobe of prostate.

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