Donald School Journal of Ultrasound in Obstetrics and Gynecology

Register      Login

VOLUME 4 , ISSUE 4 ( October-December, 2010 ) > List of Articles


Prune-belly Syndrome versus Posterior Urethral Valve

Francisco Raga, Newton G Osborne, Francisco Bonilla, Fernando Bonilla-Musoles, Luiz Eduardo Machado, Fernando Ruiz, Juan Carlos Castillo

Keywords : Prune-belly,Posterior urethral valves,Three-dimensional/Four-dimensional sonography

Citation Information : Raga F, Osborne NG, Bonilla F, Bonilla-Musoles F, Machado LE, Ruiz F, Castillo JC. Prune-belly Syndrome versus Posterior Urethral Valve. Donald School J Ultrasound Obstet Gynecol 2010; 4 (4):405-417.

DOI: 10.5005/jp-journals-10009-1160

License: CC BY-NC 4.0

Published Online: 01-09-2011

Copyright Statement:  Copyright © 2010; The Author(s).



Define possibilities to differentiate with ultrasound between fetal prune-belly (PB) and posterior urethral valves (PUV) syndromes.

Describe the ultrasound images and accompanying malformations in both syndromes.

Evaluate the value of different US modes for differential diagnoses.

PDF Share
  1. Prostate development in prune-belly syndrome (PBS) and posterior urethral valves (PUV): Etiology of PBS-lower urinary tract obstruction or primary mesenchymal defect? Pediatr Pathol 1991;11:1-29.
  2. Prune-belly syndrome. J Perinatol 2009;29:69-71.
  3. Two- and threedimensional prenatal sonographic diagnosis of prune-belly syndrome. J Clin Ultrasound 2010;38:279-82.
  4. Concordant prune-belly syndrome in monozygotic twins. Urology 2000;55:949-53.
  5. An epidemiologic study of congenital malformations of the anterior abdominal wall in more than half a million consecutive live births. Am J Hum Genet 1981;33: 470-78.
  6. Prenatal diagnosis of Prune-belly syndrome at 14 weeks of gestation: Case report and review of literature. J Maternal-Fetal Neonatal Med 2010;early online. 1-5.
  7. 3D-4D ultrasound of the new Millennium. Panamericana (Ed). Madrid 2000.
  8. Panamericana (Ed). Madrid 2005.
  9. Prenatal diagnosis of prunebelly syndrome at 12 weeks of pregnancy: Case report and review of the literature. Ultrasound Obstet Gynecol 1998;12:362-66.
  10. Chromosome abnormalities in infants with prune-belly anomaly: Association with trisomy 18. Am J Med Gener 1983;15:145-48.
  11. Birth Defects Enciclopedia. Blackwell Scientific Publ. Center for Birth Defects Information Services, Inc. Massachusetts 1990.
  12. Prune-belly syndrome: Ongoing controversies regarding pathogenesis and management. Semin Pediatr Surg 1996;5:95-106.
  13. Prune-belly syndrome. A focused physical assessment Adv Neonatal Care 2007(7);132-43.
  14. Hepatic artery aneurysm associated with prune-belly syndrome: A case report and review of the literature. J Surg Educ 2009; 66:43-47.
  15. A descriptive study of prune-belly in New York State, 1983 to 1989. Arch Pediatr Adolesc Med 1995;149: 70-76.
  16. Insbesondere der Seitenbauchmuskeln. Dissertation: Wurzburg 1839.
  17. Absence of abdominal muscles in an infant. Trans Clin Soc. 1875, 28, 2001-03.
  18. Congenital deficiency of abdominal musculature with associated genitourinary abnormalities: A syndrome. Report of 9 cases. Pediatrics 1950;6:721-36.
  19. Agenesis of abdominal muscles with associated malformation of the genitourinary tract: A clinical syndrome. Am J Dis Child 1949;77:362-73.
  20. A composite anomaly of the abdominal wall, urinary system and testes. J Urol 1961;86:782-94.
  21. Long-term outcome in children after antenatal intervention for obstructive uropathies. Lancet 1999;354:374-77.
  22. Prune-belly syndrome associated with omphalocele in a female newborn. J Pediatr Surg 1995;30:896-97.
  23. Abnormalities of the fetal bladder. Semin Fetal Neonatal Med 2008;13:164-70.
  24. Prune-belly syndrome early prenatal diagnosis and management. Tunis Med 2006;84:458-61.
  25. Kasperski SS, Evans MI, Johnson MP. Amnioinfusion in the evaluation of fetal obstructive uropathy. The effects of antibiotic prophylaxis on complication rates. Fetal Diagn Ther 1999;14:172-75.
  26. Gastrointestinal tract and internal abdominal wall. In: Kurjak A, Azumendi G: Fetus in Three Dimensions. Imaging, Embriology and Fetoscopy. Healthcare. Abingdon, UK 2006. pp 287-308.
  27. News on 3D-4D Sonographic applications in the diagnosis of fetal malformations. In: Donald School Textbook of Ultrasound in Obstetrics and Gynecology. (2nd ed). Kurjak A, Chervenak FA (Eds). 2008, 640-61.
  28. 3D/4D US In Fetal Malformations. Part Three: Second trimester. skeletal disorders, thoracic, abdominal, kidney and other malformations. In: Current Topics on Fetal 3D/4D Ultrasound. Hata T, Kurjak A, Kozuma S. Bentham Science Publishers. Busum Holanda, 2009 ISSN: 978-1-60805-019-2,87-133.
  29. Two- and three-dimensional ultrasonographic findings in urethral stenosis with bladder wall trabeculation: case report. Ultrasound Obstet Gynecol 2006;27, 697-700.
  30. Three-dimensional multi-slice view: New prospects for evaluation of congenital anomalies in the fetus. J Ultrasound Med 2006, 25, 1041-50.
  31. Fetal uropathy. Curr. Opin. Obst. Gynecol. 1999;11:185-94.
  32. Prune-Belly syndrome in two children and review of the literature. Pediatr Dermatol 2006;23:324-45.
  33. Prune-belly syndrome in two children and review of the literature . Pediatr. Dermatol 2006;23:342-45.
  34. Defining limits of survival:Lethal pulmonary hypoplasia after midtrimester premature rupture of membranes. Am J Obstet Gynecol 1996; 75:675-81.
  35. The fetal lung:1. Developmental aspects. Ultrasound Obstet Gynecol 2000;16:284-90.
  36. The fetal lung: 2. Pulmonary hypoplasia. Ultrasound Obstet Gynecol 2000;16:482-94.
  37. Fetal bladder histology in posterior urethral valves and prune-belly syndrome. J Urol 1990;144: 337-39.
  38. Urethral obstruction malformation complex: A cause of abdominal muscle deficiency and the “prune-belly”. J Pediatr 1979;94:900-06.
  39. Posterior Urethal valves: An update and review. RadioGraphics 1986;6: 753-91.
  40. First trimester diagnosis and early in utero treatment of obstructive uropathy. Acta Obstet Gynecol Scand 1989;68:645-49.
  41. Prenatally diagnosed female prune-belly syndrome associated with tetralogy of Fallot. Gynecol Obstet Invest 1995;39:141-44.
  42. Increased amniotic fluid volume associated with cloacal and renal anomalies. J Ultrasound Med 2006;25: 1085-90.
  43. Trisomy 18 and prune-belly syndrome. J Genet Hum 1985 33:469-74.
  44. Prune-belly syndrome: Early antenatal diagnosis. Eur J Obstet Gynecol Reprod Biol 1997;72:31-33.
  45. Prune-belly syndrome in an Egyptian infant with Down syndrome: A case report. J Med Case Reports. 2008;2:322-25.
  46. Megacystis-microcolon-imestinal hypoperistalsis syndrome: The difficulties with antenatal diagnosis. Case report and review of the literature. Prenat Diagn 2000;20:697-700.
  47. Síndrome de Berdon (megavejiga, microcolon, hipoperistalsis). Presentación de nuestros casos. Acta Urol. Esp. 2004;28:405-08.
  48. Just images: Obstetrics. Donald School J. Ultrasound Obstet Gynecol 2010;4:73-88.
  49. Giant liver cyst in a fetus with prune-belly syndrome. Pediatr Surg Int 1994;9:417-18.
  50. Prune-belly syndrome in a female, complicated by intestinal malrotation after successful antenatal treatment of hydrops fetalis. J Pediatr Surg 1995;30:1373-75.
  51. The origin of ascites in prunebelly syndrome: Early sonographic evidence(2). Prenat Diagn 1995;15:876-77
  52. First report of distal obstructive uropathy and prune-belly syndrome in an infant with amniotic band syndrome. Am J Perinatol 1997;14:31-33.
  53. Ultrasonography in Obstetrics and Gynecology. Fetal syndromes. Prune-belly syndrome (5th ed). Chapter 5. 2008:164-65.
  54. Tratamiento médico y quirúrgico del feto intraútero. Rev. Españ. Obstet. Ginecol. 1984;43:381-415.
  55. Prune-belly syndrome: Therapeutic options including in utero placement of vesicoamniotic shunt. J Clin Ultrasound 2000;28:500-06.
  56. Fetal renal impairment. Seminars in Neonatology 2003;8:279-89.
  57. Minimal surgical interference in the prune-belly syndrome. Brit J Urol 1979;51: 59-62.
  58. Fetal hydrolaparoscopy and endoscopic cystotomy in complicated cases of lower urinary tract obstruction. Am J Obstet Gynecol 2000;183:324-33.
  59. Minimal access fetal surgery. Eur J Obstet Gynecol Reprod Biol 2003; 108:3-13.
  60. Smooth muscle development in the obstructed fetal bladder. Urology 1997;49:104-07.
  61. Prenatal diagnosis of congenital anomalies: Prune-belly syndrome. In: Romero R, Pilu G, Jeanty P, Ghidini A, Hobbins JC, editors. Prenatal diagnosis of congenital anomalies. Norwalk, CT: Connecticut, Appleton & Lange, 1988;289-90.
  62. Diagnostic imaging obstetrics. Chapter 9. Salt Lake City, USA: Amirsys Ine., 2005;49-52.
  63. Congenital urethral anomalies in boys. Part I: Posterior urethral Urol J 2005;2:59-78.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.