Open Access, Volume 3 Conservatve management for fetal megacysts: A clinical based approach Case Report www.jcimcr.org Journal of Clinical Images and Medical Case Reports Received: Jan 13, 2022 Accepted: Feb 02, 2022 Published: Feb 09, 2022 Archived: www.jcimcr.org Copyright: © Kirita R (2022). DOI: www.doi.org/10.52768/2766-7820/1647 *Corresponding Author: Richard Kirita Department of Obstetrics and Gynecology, Bugando Medical Centre, Catholic University of Health and Allied Sciences, Mwanza, Tanzania. Email: kirita2002@yahoo.com ISSN 2766-7820 Introducton Fetal megacysts is an enlargement of foetal bladder in utero, a diagnosis that is usually made when a pre-natal ultrasonog- raphy urinary bladder longitudinal diameter is more than 7 milimetres. The Aetology of foetal megacysts is diverse and is directly related to the prognosis of the conditon. In resource limited setup, knowing the exact cause for the conditon is ofen difcult due to limitatons in diagnostc modalites and genetc screening in partcular, hence the decision for expectant man- agement or pregnancy terminaton relies on clinicians’ judge- ment and close follow up on clinical parameters. We present a case of distended fetal bladder at gestaton of 25 weeks that was managed expectantly to birth, describing possible causes, clinical presentaton, diagnosis modalites, predictors of out- come and management of such patents. Abstract Background: Fetal megacysts is an enlargement of the fe- tal urinary bladder that is a rare ultrasonography fnding dur- ing routne antenatal screening. Though intrauterine genetc screening is widely used to determine the prognosis of this con- diton in resource rich setngs, in the developing world, clinician ofen has to rely on clinical judgement for proper counselling and management of women with such foetal presentatons. Case presentaton: We present a case of a 31 years old lady who presented at our facility as a referral case at a gestatonal age of 25 weeks for terminaton of pregnancy due to an inciden- tal ultrasonography fnding of an enlarged fetal urinary bladder with oligohydramnious. Inital evaluaton at our facility led to diagnosis of foetal megacysts with no other congenital anoma- lies. An informed expectant management was carried out under close follow up and fnally delivered a 4.2 kg baby by caesarean secton at 39 weeks. The baby is currently 4months of age, with normal renal functon parameters on routne care and urologi- cal follow up. Conclusion: Foetal megacysts is a rare conditon with diverse aetology. Genetc screening for chromosomal anomalies is a major prognostc indicator however in resource limited setup, a clinician has to rely on clinical judgement to provide the patent with the necessary informaton to make an informed decision between expectant management or terminaton of pregnancy. Lisa Hassan 1 ; Richard Kirita 1 *; Clotrida Chuma 1 ; Edgar Ndaboine 1 ; Adolphine Hokororo 2 ; Albert Kihunrwa 1 1 Department of Obstetrics and Gynecology, Bugando Medical Centre, Catholic University of Health and Allied Sciences, Tanzania. 2 Department of Paediatrics and Child Health, Bugando Medical Centre, Catholic University of Health and Allied Sciences, Tanzania. Keywords: megacysts; oligohydramnios; urinary bladder; genetc screening; case report.