Prune belly syndrome

Case contributed by Jayanth Keshavamurthy


Abdominal pain, rigors/chills.

Patient Data

Age: 30 years
Gender: Female

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.


There is separation of the pubic bones - like exstrophy.


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.


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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