A Neonate with Prune Belly Syndrome and Limb Reduction Defect

Excerpt

To the Editor: A full term 3.8 kg boy was born by normal vaginal delivery with abnormal limb and bulging abdomen. Oligohydramnios was diagnosed in the mother just before delivery. On physical examination, the right lower limb was short, malformed and the leg resembled an amputation stump. The abdominal wall was observed to be bulging out in the flanks area (Fig. 1). Testes were not palpable in scrotal sac, but the phallic length was normal. Ultrasonography of the abdomen revealed bilateral hydroureteronephrosis with dilated urethra. Echocardiography and X-ray of the chest were unremarkable. No other congenital abnormalities were found on evaluation. The baby was diagnosed as a case of Prune Belly syndrome (PBS) with right lower limb reduction defect. Genetic testing could not be done because of financial constraints.

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