Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2024 May 28:12:2050313X241258850.
doi: 10.1177/2050313X241258850. eCollection 2024.

The challenging diagnosis and management of the prune belly syndrome: A case report

Dhouha Kamoun  1 , Amel Ben Hamed  1 , Amina Abdenadher  1 , Nadia Kolsi  1 , Amira Bouraoui  1 , Nedia Henteti  1
Affiliations
Case Reports

The challenging diagnosis and management of the prune belly syndrome: A case report

Dhouha Kamoun et al. SAGE Open Med Case Rep. .

Abstract

Prune belly syndrome is a rare disorder that occurs mainly in men. It is characterized by the triad of deficient abdominal wall muscles, the dilated urinary collecting system, bilateral cryptorchidism, and infertility. It mainly affects the genitourinary system, which involves the prognosis. We present the case of a preterm neonate male whose diagnosis of a prune belly was suspected in antenatal ultrasound. He had a urinary tract abnormality starting at 22 weeks of gestation. At birth, a clinical examination revealed a distended abdomen within a wrinkled and flaccid abdominal wall, a macropenis, and bilateral cryptorchidism. A urinary tract ultrasound revealed a right pyelocaliciel dilatation and a right megaureter with a megacystis. The neonate ultimately died due to severe renal failures. Prune Belly syndrome is a complex disease with a high mortality rate. Early antenatal ultrasound may ameliorate the prognosis.

Keywords: Urology; cryptorchidism; prenatal diagnosis.

PubMed Disclaimer

Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
A distended abdomen and a flaccid abdominal wall.
Figure 2.
Figure 2.
The external genitalia showed a macropenis and bilateral cryptorchidism (no testes in the sac).
Figure 3.
Figure 3.
Arrows in this cystourethrography showed a megalourete and a megacyctis.
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Papantoniou N, Papoutsis D, Daskalakis G, et al.. Prenatal diagnosis of prune-belly syndrome at 13 weeks of gestation: case report and review of literature. J Matern-Fetal Neonatal Med 2010; 23(10): 1263–1267. - PubMed
    1. Essobiyou TB, Kebalo SP, Pali E, et al.. A case of prune belly syndrome: experience from a regional hospital in Togo. Int J Surg Case Rep 2023; 102: 107812. - PMC - PubMed
    1. Eagle JF, Barrett GS. Congenital deficiency of abdominal musculature with associated genitourinary abnormalities: a syndrome. Report of 9 cases. Pediatrics 1950; 6(5): 721–736. - PubMed
    1. Samal SK, Rathod S. Prune Belly syndrome: a rare case report. Case Rep 2015; 6(1): 255. - PMC - PubMed
    1. Tagore KR, Ramineni AKS, Vijaya Lakshmi AR, et al.. Prune belly syndrome. Case Rep Pediatr 2011; 2011: 121736. - PMC - PubMed

Publication types

LinkOut - more resources