Prune Belly Syndrome and Tracheo-esophageal Fistula in a Premature Neonate

Prune Belly Syndrome, also known as Eagle-Barrett syndrome, is a well known triad of abdominal muscle deficiency or hypoplasia, urinary tract anomalies, and bilateral cryptorchidism. Tracheoesophageal fistula is a sporadically occurring defect estimated to occur in 1 out 4425 live births. Only one case of Prune Belly Syndrome, tracheo-esophageal fistula associated with VATER syndrome, and urethral atresia occurring in the same individual has been reported. We present a unique case involving a 33 week fetus with bladder distention and bilateral hydroureteronephrosis diagnosed in utero who postnatally was diagnosed with Prune Belly Syndrome, tracheo-esophageal fistula, and urethral atresia.