Prune belly syndrome

Case contributed by Hidayatullah Hamidi
Diagnosis certain


Irritability, poor urination.

Patient Data

Age: Neonate
Gender: Male

Anterior abdominal wall underdevelopment resulting in the "prune belly" appearance.


Bilateral hydroureteronephrosis is noted.

Both testes were not present in the scrotal cavities.


Bilateral moderate to severe hydroureteronephrosis is seen with tortuous dilated ureters. Persistent renal fetal lobulation is seen.

Urinary bladder shows thickened walls.

Underdeveloped abdominal wall.

Case Discussion

The case comprises all three major findings of Prune belly syndrome (also known as Eagle Barrett syndrome or triad syndrome)

  1. gross pelvicalyceal and ureteric dilatation with renal dysplasia
  2. anterior abdominal wall underdevelopment (resulting in the "prune belly" appearance)
  3. bilateral undescended testes (cryptorchidism)

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