The Prune Belly Syndrome in a Female Foetus with Urorectal Septum Malformation Sequence: A Case Report on a Rare Entity with an Unusual Association

The prune belly syndrome is a rare congenital anomaly which is characterized by the triad of an absent or a deficient development of the abdominal muscle, bilateral cryptorchidism and an anomalous urinary tract. In its full form, this condition occurs only in males. However, a similar condition oc...

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Main Authors: Dibyajyoti Goswami, Giriraj Kusre, Hemonta Kumar Dutta, Adity Sarma
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2013-08-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/3243/62-5672_PF1(M)_E(C)_F(T)_F1(V)_F1(T)_PF1(PVi_R)_PFA(PR)_PF3_(PUH)_B.pdf
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author Dibyajyoti Goswami
Giriraj Kusre
Hemonta Kumar Dutta
Adity Sarma
author_facet Dibyajyoti Goswami
Giriraj Kusre
Hemonta Kumar Dutta
Adity Sarma
author_sort Dibyajyoti Goswami
collection DOAJ
description The prune belly syndrome is a rare congenital anomaly which is characterized by the triad of an absent or a deficient development of the abdominal muscle, bilateral cryptorchidism and an anomalous urinary tract. In its full form, this condition occurs only in males. However, a similar condition occurs in females in the absence of cryptorchidism. On the other hand, the urorectal septum malformation sequence is a lethal congenital malformation which is characterized by the development of a phallus like structure, a smooth perineum and the absence of urethral, vaginal and anal openings. We are reporting a case of a female foetus with the prune belly syndrome, which was associated with a urorectal septum malformation sequence. A dead foetus with a protruded abdomen and ambiguous genitalia, was born at 32 weeks of pregnancy. On autopsy, it was found to have female internal genital organs. The left kidney, the urinary bladder and the rectum were absent. The sigmoid colon, the ureters and the fallopian tubes opened into a common cloacal sac. The histopathological examination of the ovary showed the presence of Leydig’s cells. The occurrence of the female counterpart of the prune belly syndrome is extremely rare and only few of such cases were found to be discussed in the details in the indexed English literature so far. Hence, we hope that this case report will contribute to the existing knowledge on the prune belly syndrome.
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spelling doaj.art-72776f62f1734a48b311ca9cb1826d1a2022-12-22T01:29:09ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2013-08-01781727172910.7860/JCDR/2013/5672.3243The Prune Belly Syndrome in a Female Foetus with Urorectal Septum Malformation Sequence: A Case Report on a Rare Entity with an Unusual AssociationDibyajyoti Goswami0Giriraj Kusre1Hemonta Kumar Dutta2Adity Sarma3Post Graduate Trainee, Department of Anatomy, Assam Medical College and Hospital, Dibrugarh, Assam-786002, India.Associate Professor, Department of Anatomy, Assam Medical College and Hospital, Dibrugarh, Assam-786002, India.Associate Professor, Department of Paediatric Surgery, Assam Medical College and Hospital, Dibrugarh, Assam-786002, India.Associate Professor, Department of Pathology, Assam Medical College and Hospital, Dibrugarh, Assam-786002, India.The prune belly syndrome is a rare congenital anomaly which is characterized by the triad of an absent or a deficient development of the abdominal muscle, bilateral cryptorchidism and an anomalous urinary tract. In its full form, this condition occurs only in males. However, a similar condition occurs in females in the absence of cryptorchidism. On the other hand, the urorectal septum malformation sequence is a lethal congenital malformation which is characterized by the development of a phallus like structure, a smooth perineum and the absence of urethral, vaginal and anal openings. We are reporting a case of a female foetus with the prune belly syndrome, which was associated with a urorectal septum malformation sequence. A dead foetus with a protruded abdomen and ambiguous genitalia, was born at 32 weeks of pregnancy. On autopsy, it was found to have female internal genital organs. The left kidney, the urinary bladder and the rectum were absent. The sigmoid colon, the ureters and the fallopian tubes opened into a common cloacal sac. The histopathological examination of the ovary showed the presence of Leydig’s cells. The occurrence of the female counterpart of the prune belly syndrome is extremely rare and only few of such cases were found to be discussed in the details in the indexed English literature so far. Hence, we hope that this case report will contribute to the existing knowledge on the prune belly syndrome.https://jcdr.net/articles/PDF/3243/62-5672_PF1(M)_E(C)_F(T)_F1(V)_F1(T)_PF1(PVi_R)_PFA(PR)_PF3_(PUH)_B.pdfabdominal wallautopsycryptorchidismprune belly syndromeleydig’s cells
spellingShingle Dibyajyoti Goswami
Giriraj Kusre
Hemonta Kumar Dutta
Adity Sarma
The Prune Belly Syndrome in a Female Foetus with Urorectal Septum Malformation Sequence: A Case Report on a Rare Entity with an Unusual Association
Journal of Clinical and Diagnostic Research
abdominal wall
autopsy
cryptorchidism
prune belly syndrome
leydig’s cells
title The Prune Belly Syndrome in a Female Foetus with Urorectal Septum Malformation Sequence: A Case Report on a Rare Entity with an Unusual Association
title_full The Prune Belly Syndrome in a Female Foetus with Urorectal Septum Malformation Sequence: A Case Report on a Rare Entity with an Unusual Association
title_fullStr The Prune Belly Syndrome in a Female Foetus with Urorectal Septum Malformation Sequence: A Case Report on a Rare Entity with an Unusual Association
title_full_unstemmed The Prune Belly Syndrome in a Female Foetus with Urorectal Septum Malformation Sequence: A Case Report on a Rare Entity with an Unusual Association
title_short The Prune Belly Syndrome in a Female Foetus with Urorectal Septum Malformation Sequence: A Case Report on a Rare Entity with an Unusual Association
title_sort prune belly syndrome in a female foetus with urorectal septum malformation sequence a case report on a rare entity with an unusual association
topic abdominal wall
autopsy
cryptorchidism
prune belly syndrome
leydig’s cells
url https://jcdr.net/articles/PDF/3243/62-5672_PF1(M)_E(C)_F(T)_F1(V)_F1(T)_PF1(PVi_R)_PFA(PR)_PF3_(PUH)_B.pdf
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