Megacystis

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Figer-1

📄 Report Sample Line- Megacystis (During First Trimester / NT Screening)
Significantly enlarged fetal urinary bladder observed. Measuring ≥7 mm in longitudinal diameter.


Conclussion: 📋 Findings are consistent with Megacystis
Recommendation: Follow-up with detailed anomaly scan.

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Note: Select English to answer in English, या हिंदी चुनें तो प्रश्नों के उत्तर हिंदी में दीजिए।

1. What is fetal megacystis? 1. फेटल मेगासिस्टिस क्या है?
A. An abnormally large fetal bladder detected on ultrasound
B. Enlarged fetal heart
C. Excess amniotic fluid only
D. Placental abnormality

2. Megacystis is most reliably diagnosed in which trimester? 2. मेगासिस्टिस किस तिमाही में सबसे विश्वसनीय रूप से निदान किया जाता है?
A. First trimester (often around 11–14 weeks when bladder is large relative to abdomen)
B. Only during labour
C. Postnatal only
D. It cannot be diagnosed by ultrasound

3. Common causes of fetal megacystis include: 3. फेटल मेगासिस्टिस के सामान्य कारणों में शामिल हैं:
A. Lower urinary tract obstruction (eg posterior urethral valves), neurogenic bladder, or transient delay in bladder emptying
B. Maternal fever only
C. Placenta previa only
D. Always due to twin pregnancy

4. Which sonographic feature suggests ongoing obstruction rather than transient megacystis? 4. कौन सा सोनोग्राफिक लक्षण चल रहे (ऑब्स्ट्रक्शन) को अस्थायी मेगासिस्टिस से अलग दर्शाता है?
A. Progressive bladder enlargement with bilateral hydronephrosis and oligohydramnios
B. Small bladder that empties normally
C. Increased fetal movements only
D. Thickened placenta only

5. Which additional scan helps assess renal effect of megacystis? 5. मेगासिस्टिस के गुर्दे पर प्रभाव का आकलन करने के लिए कौन सा अतिरिक्त स्कैन मदद करता है?
A. Renal ultrasound to look for hydronephrosis and cortical thinning
B. Maternal chest X-ray
C. Fetal echocardiogram only
D. No further imaging required

6. Oligohydramnios in a fetus with megacystis suggests: 6. मेगासिस्टिस वाले भ्रूण में ओलिगोहाइड्रामनियास क्या संकेत देता है?
A. Significant renal impairment or high-grade urinary tract obstruction reducing fetal urine output
B. Maternal overhydration
C. Normal finding
D. Always indicates infection

7. Best initial investigations when significant megacystis is found antenatally? 7. जब गर्भकाल में महत्वपूर्ण मेगासिस्टिस पाया जाए तो सर्वश्रेष्ठ प्रारंभिक जाँचें क्या हैं?
A. Detailed ultrasound with renal assessment, amniotic fluid assessment; maternal blood tests including infection screen; consider fetal karyotype if associated anomalies
B. Immediate cesarean section
C. No tests—wait until birth
D. Only maternal ECG

8. Prenatal interventions for obstructive megacystis may include: 8. ऑब्स्ट्रक्टिव मेगासिस्टिस के लिए गर्भकालीन हस्तक्षेप में क्या शामिल हो सकता है?
A. Vesicoamniotic shunting or fetal cystoscopic valve ablation in selected cases
B. Maternal antibiotics only
C. Immediate pediatric dialysis in utero
D. No possible interventions

9. Prognostic factors for fetal outcome in megacystis include: 9. मेगासिस्टिस में भ्रूण के परिणाम के लिए पूर्वानुमान कारकों में क्या शामिल हैं?
A. Severity of obstruction, presence of bilateral hydronephrosis, oligohydramnios, gestational age at diagnosis and associated anomalies
B. Maternal hair color only
C. Fetal eye color only
D. Placental weight only

10. Postnatal management for a baby with prenatally diagnosed megacystis commonly includes: 10. जन्मपूर्व निदान किए गए मेगासिस्टिस वाले शिशु के लिए प्रसवोत्तर प्रबंधन में आमतौर पर क्या शामिल होता है?
A. Postnatal urological assessment, renal function monitoring, and early intervention for obstruction if indicated
B. Immediate discharge with no follow-up
C. Maternal antibiotics only
D. Always immediate dialysis