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Prune Belly Syndrome (Triad Syndrome)
==Prune Belly Syndrome (Triad Syndrome)==
The condition was first described by Frolich (1839) and then called "prune belly syndrome" as a descriptive, because the intestinal pattern is evident through the thin protruding abdominal wall in the infant (Osler, 1901).
The condition was first described by Frolich (1839) and then called "prune belly syndrome" as a descriptive, because the intestinal pattern is evident through the thin protruding abdominal wall in the infant (Osler, 1901).
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In some cases there are vestiges of muscle in the abdominal wall and it is not known whether this represents (a) destruction of muscle, or (b) failure of development of muscle. The causes of this malformation are little known, but maternal therapy with estrogens in the first trimester has been implicated frequently.
In some cases there are vestiges of muscle in the abdominal wall and it is not known whether this represents (a) destruction of muscle, or (b) failure of development of muscle. The causes of this malformation are little known, but maternal therapy with estrogens in the first trimester has been implicated frequently.


The Triad is:
The triad is:


# Agenesis of abdominal wall muscles
# Agenesis of abdominal wall muscles
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# Bilateral undescended testes
# Bilateral undescended testes


References:


# Frolich, F. Der Mangel der Muskeln, insbesondere der Seitenbauchmuskeln. Dissertation: Wurzburg (pub.) 1839.
:[[International_Classification_of_Diseases|'''ICD-10 Code''']]: [[International_Classification_of_Diseases_-_XVII_Congenital_Malformations#Q79_Congenital_malformations_of_the_musculoskeletal_system.2C_not_elsewhere_classified|Q79.4 Prune belly syndrome]]
# Osler, W. Congenital absence of the abdominal muscles with distended and hypertrophied urinary bladder. Bull. Johns Hopkins Hosp. 12: 331-333, 1901.
 
===References===
 
# Frolich, F. '''Der Mangel der Muskeln, insbesondere der Seitenbauchmuskeln.''' Dissertation: Wurzburg (pub.) 1839.
# Osler, W. '''Congenital absence of the abdominal muscles with distended and hypertrophied urinary bladder.''' Bull. Johns Hopkins Hosp. 12: 331-333, 1901.




[[Category:Abnormal Development]] [[Category:Renal]]
[[Category:Abnormal Development]] [[Category:Renal]]

Latest revision as of 23:47, 12 July 2012

Prune Belly Syndrome (Triad Syndrome)

The condition was first described by Frolich (1839) and then called "prune belly syndrome" as a descriptive, because the intestinal pattern is evident through the thin protruding abdominal wall in the infant (Osler, 1901).

Survival of the prune belly child depends on the number of functioning remaining nephrons at birth and the operability of the obstruction.

In some cases there are vestiges of muscle in the abdominal wall and it is not known whether this represents (a) destruction of muscle, or (b) failure of development of muscle. The causes of this malformation are little known, but maternal therapy with estrogens in the first trimester has been implicated frequently.

The triad is:

  1. Agenesis of abdominal wall muscles
  2. Bladder outflow obstruction
  3. Bilateral undescended testes


ICD-10 Code: Q79.4 Prune belly syndrome

References

  1. Frolich, F. Der Mangel der Muskeln, insbesondere der Seitenbauchmuskeln. Dissertation: Wurzburg (pub.) 1839.
  2. Osler, W. Congenital absence of the abdominal muscles with distended and hypertrophied urinary bladder. Bull. Johns Hopkins Hosp. 12: 331-333, 1901.

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