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Ultrasound Obstet Gynecol. 1993 Jul 01;3(4):284-6. doi: 10.1046/j.1469-0705.1993.03040284.x.

Development of the Eagle-Barrett (prune belly) syndrome and a thickened, poorly functional bladder wall after early second-trimester decompression of fetal megacystis.

Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology

B E Finley, T L Bennett, J Burlbaw, L Levitch

Affiliations

  1. Division of Maternal-Fetal Medicine, University of Kansas Medical Center and Humana Hospital of Overland Park, Kansas City 66103, USA.

PMID: 12797278 DOI: 10.1046/j.1469-0705.1993.03040284.x

Abstract

The management of bladder outlet obstruction in the fetus remains a debated issue. Recent data suggest the use of cystocentesis for the possible relief of the bladder neck obstruction or for the opening of posterior urethral valves. This case report adds further support for the use of cystocentesis and observation prior to the placement of an indwelling bladder shunt. The case further demonstrates that relief of the megacystis may not prevent prune belly syndrome, bladder dysfunction or renal damage. Finally, the case demonstrates that severe oligohydramnios in the second trimester need not invariably result in pulmonary hypoplasia.

Copyright 1993 International Society of Ultrasound in Obstetrics and Gynecology

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