Prune belly syndrome – Case report and review of the literature

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. Key words: Prune belly, Urinary tract infection, Cryptorchidism

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