Case Reports and Reviews: Open Access

Prenatal Diagnosis of Prune Belly Syndrome and Potter Sequence: A Complex Clinical and Ethical Scenario

Anjali Mishra and Gina Marcuzzo

Abstract

Prune-belly syndrome, or Eagle-Barrett syndrome, is a rare congenital anomaly characterized by genitourinary abnormalities and aplastic or hypoplastic abdominal muscles. We present a case of prenatal diagnosis of prune belly syndrome at 20 weeks gestation, complicated by Potter sequence due to obstructive uropathy. Despite counseling, restrictive abortion laws limited the mother's options, leading to a continued pregnancy with close monitoring and palliative care. The infant exhibited severe features of Potter sequence and succumbed shortly after birth. This case underscores the challenges parents face in restrictive abortion law environments and emphasizes the importance of comprehensive prenatal counseling and access to medical services, including termination when medically indicated.

Keywords: Prune belly syndrome; Potter sequence; Neonatal complications.