Prune belly syndrome

Case contributed by Dr Jayanth Keshavamurthy

Presentation

Abdominal pain, rigors/chills.

Patient Data

Age: 30
Gender: Female
Modality: X-ray

There is separation of the pubic bones - like exstrophy.

Modality: CT

Evidence of chronic renal failure with atrophy of kidneys, hydronephrosis of native kidneys. Left pelvic transplant kidney is normal. Absence of rectus abdominus muscle.

The urinary bladder is thickened with bladder diverticula suggesting chronic bladder outlet obstruction.

Modality: MRI

Findings confirm hydroureters bilaterally and no rectus muscle.

Left renal transplant kidney.

Case Discussion

95% of prune belly syndrome cases are male and thus 5% of them, like this case, are in females.

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Case Information

rID: 35760
Case created: 21st Apr 2015
Last edited: 30th Jan 2016
System: Urogenital
Inclusion in quiz mode: Included

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