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June 1979, Vol 133, No. 6 >
Article | June 1979

'Prune Belly' Syndrome FREE

R. LAWRENCE KROOVAND, MD; ALAN D. PERLMUTTER, MD
Am J Dis Child. 1979;133(6):658. doi:10.1001/archpedi.1979.02130060098031.
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Sir.—We read with interest in the Journal (132:970-972, 1978) the article by Arena and Smith, "Sex Liability to Single Structural Defects"; however, we differ with the authors in their interpretation of the etiology of "prune belly" syndrome (PBS). The authors propose that PBS is most commonly a consequence of urethral obstruction at the prostatic urethra, which results in urinary tract dilation and a thinning out of the abdominal wall and its musculature. This is often lethal in early fetal life unless the bladder ruptures via the urachus or the urethra to decompress the bladder mass and yield the wrinkled prune belly at birth. The authors base their conclusions on the nonreferenced research by one of them (D.W.S.) plus cited references that do not corroborate their conclusions concerning PBS.

The etiology of PBS is admittedly unknown, but the findings (abdominal muscular deficiency, urinary tract dilation, and cryptorchidism) can be explained by

REFERENCES

1 +
Duckett JW Jr:  The prune belly syndrome , in Kelalis PP, King LR (eds): Clinical Pediatric Urology . Philadelphia, WB Saunders Co, 1976;, pp 615-635.
2 +
Nunn IN, Stephens FD:  The triad syndrome: A composite anomaly of the abdominal wall, urinary system and testes . J Urol 86:782-794, 1961;.
3 +
Welch KJ, Kearney GP:  Abdominal musculature deficiency syndrome: Prune belly . J Urol 111:693-702, 1974;.
4 +
Woodard JR:  The prune belly syndrome . Urol Clin North Am 5:75-93, 1978;.
5 +
Afifi AK, Rebeiz J, Mire J, et al:  The myopathy of the prune belly syndrome . J Neurol Sci 15:153-165, 1972;.
6 +
Hanna MK, Jeffs RD, Sturgess JM, et al:  Ureteral structure and ultrastructure: III. The congenitally dilated ureter (megaureter) . J Urol 117:24-27, 1977;.
7 +
Miniberg DT, Montoya F, Okada K, et al:  Subcellular muscle studies in the prune belly syndrome . J Urol 109:524-526, 1973;.
8 +
Palmer JM, Tesluk H:  Ureteral pathology in the prune belly syndrome : J Urol 111:701-707, 1974;.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Duckett JW Jr:  The prune belly syndrome , in Kelalis PP, King LR (eds): Clinical Pediatric Urology . Philadelphia, WB Saunders Co, 1976;, pp 615-635.
2 +
Nunn IN, Stephens FD:  The triad syndrome: A composite anomaly of the abdominal wall, urinary system and testes . J Urol 86:782-794, 1961;.
3 +
Welch KJ, Kearney GP:  Abdominal musculature deficiency syndrome: Prune belly . J Urol 111:693-702, 1974;.
4 +
Woodard JR:  The prune belly syndrome . Urol Clin North Am 5:75-93, 1978;.
5 +
Afifi AK, Rebeiz J, Mire J, et al:  The myopathy of the prune belly syndrome . J Neurol Sci 15:153-165, 1972;.
6 +
Hanna MK, Jeffs RD, Sturgess JM, et al:  Ureteral structure and ultrastructure: III. The congenitally dilated ureter (megaureter) . J Urol 117:24-27, 1977;.
7 +
Miniberg DT, Montoya F, Okada K, et al:  Subcellular muscle studies in the prune belly syndrome . J Urol 109:524-526, 1973;.
8 +
Palmer JM, Tesluk H:  Ureteral pathology in the prune belly syndrome : J Urol 111:701-707, 1974;.

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