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Congenital megacystis: a case report

¹Department of Surgery, Taichung Veterans General Hospital, Taiwan, ROC.

Zhonghua Yi Xue Za Zhi = Chinese Medical Journal; Free China Ed

|June 6, 1998

Summary

Congenital megacystis, a rare bladder enlargement without other anomalies, was diagnosed in a newborn. Surgical intervention (reductive cystoplasty) proved successful, with the infant recovering well.

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Area of Science:

Pediatric Surgery
Neonatology
Urology

Background:

Congenital megacystis is a rare condition characterized by an abnormally enlarged bladder present at birth.
It typically occurs without other congenital anomalies, making diagnosis challenging.

Observation:

A female neonate presented with abdominal distention, feeding difficulties, and vomiting after birth.
Prenatal ultrasound revealed a large abdominal cystic lesion; postnatal CT confirmed a massive bladder without other abnormalities.

Findings:

Exploratory laparotomy identified a significantly enlarged bladder with normal trigon and ureteral insertions.
Reductive cystoplasty was performed, leading to an uneventful postoperative recovery.

Implications:

Congenital megacystis should be considered in the differential diagnosis of prenatal intra-abdominal cystic lesions.
The long-term efficacy of reductive cystoplasty for this rare condition requires further investigation through case studies.

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