Introduction: Prune belly syndrome (PBS) is a congenital disorder characterized by injury or hypoplasia of the abdominal wall musculature, severe urinary tract abnormalities, and bilateral cryptorchidism in males. It has an estimated incidence of 1 in 40,000 live births. Life expectancy is low, and most affected individuals do not survive for more than one year. About 30% of survivors develop chronic renal failure and require a kidney transplant. Case Report: A male patient, delivered by cesarean section at 39 weeks of gestation, presented with respiratory failure, anuria, flaccid abdomen, bilateral cryptorchidism, and heartbeat with absence of abdominal muscle movements at delivery. Ultrasound of kidneys and urinary tract showed bilateral obstructive hydronephrosis, dilated ureters with tortuous aspect, and bladder partially full with normal wall thickness, suggesting low obstruction. In