关键词: Urology cryptorchidism prenatal diagnosis

来  源:   DOI:10.1177/2050313X241258850   PDF(Pubmed)

Abstract:
Prune belly syndrome is a rare disorder that occurs mainly in men. It is characterized by the triad of deficient abdominal wall muscles, the dilated urinary collecting system, bilateral cryptorchidism, and infertility. It mainly affects the genitourinary system, which involves the prognosis. We present the case of a preterm neonate male whose diagnosis of a prune belly was suspected in antenatal ultrasound. He had a urinary tract abnormality starting at 22 weeks of gestation. At birth, a clinical examination revealed a distended abdomen within a wrinkled and flaccid abdominal wall, a macropenis, and bilateral cryptorchidism. A urinary tract ultrasound revealed a right pyelocaliciel dilatation and a right megaureter with a megacystis. The neonate ultimately died due to severe renal failures. Prune Belly syndrome is a complex disease with a high mortality rate. Early antenatal ultrasound may ameliorate the prognosis.
摘要:
修剪型腹部综合征是一种罕见的疾病,主要发生在男性中。它的特点是腹壁肌肉不足的三合会,扩张的泌尿系统,双侧隐睾,和不孕症。它主要影响泌尿生殖系统,这涉及到预后。我们介绍了一名早产新生儿男性的病例,其在产前超声检查中怀疑诊断为修剪腹部。从妊娠22周开始,他有尿路异常。出生时,临床检查显示,在皱纹和松弛的腹壁内腹部扩张,一个巨大的阴茎,和双侧隐睾。尿路超声检查显示右肾盂扩张和右肾盂扩张。新生儿最终死于严重的肾衰竭。李子腹综合征是一种复杂的疾病,死亡率很高。产前早期超声可以改善预后。
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