Table 1 Timeline
From: Challenging diagnosis of prune belly syndrome antenatally: a case report
Dates | Relevant past medical history and interventions | ||
06/09/2018 | A 29-year-old Saudi woman, married to a first-degree cousin, was G4T2P0A1L2 at 21 weeks of gestation. She was not known to have any medical illness; she was referred due to suspension of diaphragmatic hernia for further workup | ||
Dates | Summaries from initial visit and admission follow-up | Diagnostic testing | Interventions |
06/09/2018 | Presented to the clinic with medical report of findings of suggestive diaphragmatic hernia for further workup to exclude anomalies | On the same day, prenatal screening testing was done and urgent anatomy scan was done that showed genitourinary system anomalies | Patient admitted for amniocentesis and fetal echocardiogram |
06/09/2018 | The patient was admitted for investigations | Fetal echocardiogram showed no obvious anomalies | Amniocentesis done and sample sent to the laboratory |
07/09/2018 | The patient discharged with clinic follow-up | Negative result of prenatal infections | Â |
20/10/2018 | The patient did not come to her clinic follow-up | Result of amniocentesis was normal | Â |
19/11/2018 | Patient came to the clinic after the department coordinator called her | Repeated ultrasound scan showed severe and progressing anomalies compared to the first scan. Counseling done regarding these findings | Patient admitted to the ward |
19/11/2018 | Patient was in the hospital for observation and tapping of the bladder. The case was presented in a multidisciplinary team meeting with perinatologist and neonatologist | Â | The meetings revealed no intrapartum management in labor with no fetal monitoring and caesarian section would be preserved for maternal indication. Post-delivery plans not to resuscitate the infant and applying comfort care post-delivery were also explained |
20/11/2018 | The patient received extensive counseling regarding the outcomes of the meeting and proper plan | Â | Tapping of bladder performed and samples sent to whole exome sequencing |
21/11/2018 | Patient delivered with no complications, baby boy with prune belly syndrome features, he died within 2 hours |  |  |
22/11/2018 | Patient counseled regarding the future plan of pregnancy management then discharged | Â | Â |
06/12/2018 | Normal placental histopathology, whole exome sequencing result was not obtained due to laboratory error | Â | Â |