Causes of prune belly syndrome are as yet still to be established, but there are two main theories. The first is that an intrauterine injury leads to the development of the syndrome. The second is that a blockage of the urinary tract while in utero leads to malformation of the abdominal musculature. According to Ghritlaharey et al, however, these theories do not adequately explain the full range of symptoms associated with Prune belly syndrome..
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