Prune Belly Syndrome : Two Case Series

Prune Belly syndrome (PBS) is a rare congenital anomaly and is almost exclusive to males. We are reporting 2 cases of PBS. The first case of 8 days old baby born to a mother (29 years) who has history of such child previously but unfortunately that baby didn’t survive and died at 1.5 years of age. On physical examination child had wrinkled skin over abdomen showing signs of deficient abdominal wall, undescended bilateral testis and palpable kidney. Ultrasound examination of the abdomen revealed bilateral gross hydrouerteronephrosis and patent urachus. The second case is of 18 months old boy born out of consanguineous marriage with deficient abdominal wall, palpable kidney and bilateral undescended testis. In this case USG was suggestive of left hydroureteronephrosis. Micturatingcystourethrogram(MCU) was showing bilateral VUR.The findings were suggestive of prune belly syndrome in both cases and hence further work up was done.Early diagnosis is important for complete work up and the optimal management.