Prunus-like wrinkles on abdominal skin

Introduction

Introduction Wrinkled plum belly syndrome, dry skin wrinkles of the abdomen, named after plum-like wrinkles. Refers to the patient's partial or total abdominal muscles with severe hypoplasia or complete absence. The abdominal wall is composed of superficial fascia and peritoneum of the skin, without inguinal canal and ligament, and may be accompanied by giant renal cyst, giant ureter, renal hypoplasia, cryptorchidism. Wait. Because of the three major symptoms of abdominal muscle deficiency, urinary tract malformation and cryptorchidism, it is also called "triple syndrome".

Cause

Cause

The etiology of this disease is unknown, may be associated with recessive inheritance.

Examine

an examination

Related inspection

Abdominal skin examination abdominal shape palpation abdominal auscultation abdominal plain film abdominal CT

1. The abdomen is inflated, and the abdomen is enlarged and relaxed at birth, and some or all of the abdominal muscles are seriously dysplastic. The abdominal muscles that are usually absent are from the middle to the lower abdomen, and both sides can also be unilateral or even completely absent. Due to the thin abdominal wall, it is easy to clear the internal organs of the child.

2. Dry skin wrinkles on the abdomen, named after plum-like wrinkles.

3. Most of the children are male, the majority of the children are male and accompanied by cryptorchidism.

4. The characteristic performance can not be changed from lying position to sitting position without the support of two arms.

5. Urinary tract abnormalities, many different degrees of urinary tract abnormalities, giant ureter, giant bladder, renal cyst, renal hypoplasia or dysplasia.

Diagnosis

Differential diagnosis

Congenital abdominal muscle development defects: typical performance is that the abdomen is huge, soft, and can be deformed with body position changes. The abdominal wall is weak and slack, and the abdomen bulges. Easy access to the internal organs of the abdomen, and even visible visceral contours. Due to the role of the sacral spine muscle, there is often a reflex of the horn, the rib angle is far wider than the normal baby, and the rib protrudes forward. The abdominal skin folds of the light children are mostly transverse, the upper part of the rectus abdominis and the abdominal oblique muscles are present, and the rectus abdominis under the umbilicus is incompletely developed, so the position of the umbilicus is higher. Because the skin of the abdomen is very wrinkled, it looks like "dry plum", so it is also called dry plum belly.

diagnosis:

1. The abdomen is inflated, and the abdomen is enlarged and relaxed at birth, and some or all of the abdominal muscles are seriously dysplastic. The abdominal muscles that are usually absent are from the middle to the lower abdomen, and both sides can also be unilateral or even completely absent. Due to the thin abdominal wall, it is easy to clear the internal organs of the child.

2. Dry skin wrinkles on the abdomen, named after plum-like wrinkles.

3. Most of the children are male, the majority of the children are male and accompanied by cryptorchidism.

4. The characteristic performance can not be changed from lying position to sitting position without the support of two arms.

5. Urinary tract abnormalities, many different degrees of urinary tract abnormalities, giant ureter, giant bladder, renal cyst, renal hypoplasia or dysplasia.

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