Giant megaureters presenting as a multicystic abdominal mass

Area of Science:

• Pediatric Urology
• Developmental Biology
• Medical Imaging

Background:

• Megaureter is a congenital ureteral dilation with potential for significant pediatric morbidity.
• Early diagnosis and appropriate management are crucial for preventing complications such as renal damage and infection.

Observation:

• A pediatric case presented with massively dilated ureters, filling nearly the entire abdominal cavity.
• The unusual abdominal distension mimicked other intra-abdominal pathologies, leading to initial misdiagnosis.

Findings:

• Histopathological examination confirmed massively dilated ureters, a rare manifestation of megaureter.
• The case underscores the importance of considering megaureter in the differential diagnosis of pediatric abdominal masses.

Implications:

• This case highlights the diagnostic challenges posed by atypical megaureter presentations.
• Accurate interpretation of imaging is vital to avoid misdiagnosis and ensure timely surgical intervention for pediatric megaureter.