Prune belly syndrome – Case report and review of the literature

Abstract

We describe a 2-year-old boy seen in Kenya who presented with fever, dysuria, foul smelling urine, and
diarrhea. His previous ultrasonography showed an overdistended bladder and hydronephrosis. Physical
examination revealed a distended abdomen, loose abdominal wall muscles with thin, flabby, and wrinkled
skin on the abdominal wall, hypoplastic scrotum, and bilateral cryptorchidism. A diagnosis of prune belly
syndrome was promptly made. The urinary tract infection was duly treated with intravenous ceftriaxone
and the child followed by pediatric urology.