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Re: Clin case: distended bladder From: Ann Polin (charna@uswest.net) Fri Jan 22 22:01:00 1999 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Y.A. Jones RDMS: "Re: Nuchal II" Previous message: Martin Necas and Tania Keep: "Re: Clin case: distended bladder" Maybe in reply to: Ana Cunha: "Clin case: distended bladder" Next in thread: M.C. Scarboro RNC RDMS: "Re: Clin case: distended bladder" Ana - The findings you describe are suggestive of prune-belly syndrome, although this has a higher incidence in males than in females. These babies usually have an under-developed thoracic cavity, and may have other anomalies as well. Although the kidneys on your patient look normal, it may be that the ascites is a result of a leakage of urine into the peritoneal cavity, which would explain why you are not seeing hydronephrosis (this is an associated finding with prune-belly). Many articles describing this syndrome and various reported case studies can be found by doing a Medline search on the internet. -- Ann Polin, BS, RDMS Program Chair Diagnostic Ultrasound, B243 Bellevue Community College 3000 Landerholm Circle SE Bellevue, WA 98007-6484 (425) 603-4181 apolin@bcc.ctc.edu Ana Cunha wrote: > Dear listers, > > I'm a sonographer in a Maternity in the north of Portugal. I'm > posting a case to wich I would like to ask for your expert opinion: > Single fetus, at 14 weeks presents with ascitis, distended bladder, > oligohydramnios. At the following visit at 16 weeks, no ascitis was > visible and there was some LA, cariotype - 46, XX. Presently she is > 20 weeks, has a distended bladder somewhat irregular in shape and with > hypertrophic wall. Renal parenchima seems normal and there is no > hydronephrosis, LA is normal. > > What should we look for next? Is there a way to establish the > prognosis in this case? > > Thank you in advance for any help, > > Ana Cunha, MD > Maternity Julio Dinis > Porto - Portugal Next message: Y.A. Jones RDMS: "Re: Nuchal II" Previous message: Martin Necas and Tania Keep: "Re: Clin case: distended bladder" Maybe in reply to: Ana Cunha: "Clin case: distended bladder" Next in thread: M.C. Scarboro RNC RDMS: "Re: Clin case: distended bladder"

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