Volume 22 Supplementary Issue 3

Rare Occurrence of Prune Belly Syndrome With Pulmonary Stenosis

Megha P, Sahana Devadas, Anil Kumar H, Bharath K

Abstract

Prune belly syndrome (PBS) is an uncommon congenital anomaly of unknown etiology, seen mostly in male neonates. We report the case of a term male neonate born to a 19-year-old primigravida. There was no family history of genetic or congenital anomalies. Clinical examination of the neonate revealed hypotonia, lax abdominal wall, bilateral cryptorchidism, and palpable kidneys and bladder, giving rise to the suspicion of PBS. An ultrasonographic (USG) examination of the abdomen on day 1 of life revealed bilateral gross hydronephrosis and megaureter. The neonate was admitted to the NICU for further management. Routine antenatal USG helps detect renal anomalies, which can be followed up postnatally. Early diagnosis helps determine an optimal treatment, which is important to avoid its fatal course.

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