Presentation
Antenally diagnosed on ultrasound with hydronephrosis (bilateral), hydroureter and large bladder.
Patient Data
Age: neonate
Gender: Male
From the case:
Prune belly syndrome
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X ray findings:
- globular shape of abdomen
- bilateral bulging flanks
Prune belly syndrome can be diagnosed by an antenatal ultrasound.
- abnormal large abdominal cavity
- hydroureteronephrosis and large distended bladder
- the abdomen swells with the pressure of accumulated urine and
- no resistance offered to swelling due to lack of abdominal muscles
Triad of Prune belly syndrome:
- urinary tract abnormalities i.e. bilateral hydroureteronephrosis
- anterior abdominal wall musculature is underdeveloped or absent
- Bilateral undescended testes (cryptorchidism)
Case Discussion
Case of Prune belly syndrome
also known as the Eagle Barrett syndrome or the triad syndrome.
this case shows an X-ray of a still born child
- the gross bilateral hydronephrosis coupled with absence of abdominal musculature has caused bulging of the flanks
- the child was still born probably due to complication of pulmonary hypoplasia