$Unique_ID{BRK02199} $Pretitle{} $Title{Prune Belly Syndrome} $Subject{Prune-Belly Prune Belly Syndrome abnormally wrinkled stomach Obrinsky's Syndrome abdominal muscle deficiency lack muscles lower central abdomen urinary genital systems sex-linked recessive trait abdominal musculature support urological care bladder kidneys newborn} $Volume{} $Log{} Copyright (c) 1993 Tribune Media Services, Inc. Prune Belly Syndrome ------------------------------------------------------------------------------ QUESTION: My grandson was just born with an abnormally wrinkled stomach, or so I have been told. My daughter has been informed that he has "prune belly" syndrome. What is this? Is it dangerous? What must be done to help him? ------------------------------------------------------------------------------ ANSWER: Prune belly syndrome (sometimes referred to as Obrinsky's Syndrome or abdominal muscle deficiency) affects boys almost exclusively, and is caused by a lack of the muscles in the lower and central portions of the abdomen. It is also associated with abnormal development of the urinary and genital systems. The cause is unknown, but may be related to a sex-linked recessive trait. The skin of the baby's abdominal wall gets severely stretched because of the absence of abdominal musculature. Because much of the muscle mass is missing, the skin of the abdomen is severely stretched by the pressure of the bowel and bladder. When the pressure is relieved, the skin then collapses back into a mass of wrinkles, looking like the surface of a large prune, thus the "prune belly" syndrome. Fortunately, as long as your daughter works closely with a doctor who understands this problem, your grandson can lead a normal life. The baby will need proper abdominal support and he'll need diligent urological care. The physician will keep an eye on the growth and development of the bladder, which may be distended in the early stages of this problem. It is also imperative that the doctor monitor the kidneys continuously, as there are some cases in which the kidney degenerates. Major complications are usually avoided with proper care. Good luck to your grandson. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.