CASE REPORT article
Front. Pediatr.
Sec. Pediatric Urology
Volume 13 - 2025 | doi: 10.3389/fped.2025.1624556
Case Report: A rare case of prune belly syndrome with intraperitoneal cryptorchidism
Provisionally accepted- Children's Hospital of Fudan University, Shanghai, China
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Prune belly syndrome (PBS) , a rare congenital disorder characterized by the absence of abdominal wall musculature and abnormalities in the genitourinary tract, is primarily linked to the urethral obstruction during fetal development. Given the overall rarity of the PBS and its multisystem involvement, there is currently no consensus on the optimal management strategy for PBS patients. This case report elaborated the comprehensive therapeutic outcomes of a patient with PBS, who had previously undergone several surgeries, including vesicoscopic cross-trigonal ureteral reimplantation, and first-stage Fowler-Stephens orchiopexy (FSO) for right cryptorchidism. At the age of seven, the patient underwent one-stage FSO combined with microvascular anastomosis for the left intra-abdominal testis. With appropriate perioperative management, the left testis was successfully survived. Herein, we presented an illustrative case to serve as a treatment reference for PBS patients.
Keywords: Prune Belly Syndrome, Cryptorchidism, Urethral Obstruction, fowler-stephens orchiopexy, microvascular anastomosis
Received: 07 May 2025; Accepted: 25 Aug 2025.
Copyright: © 2025 Ji, Xue, Gu, Wan, Lu and Fan. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Yong Fan, Children's Hospital of Fudan University, Shanghai, China
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