DOI: https://doi.org/10.36347/sasjm.2025.v11i07.003

Pages: 677-679

Introduction: Megaureter, a congenital dilation of the ureter, is frequently detected during antenatal ultrasound and may be primary or secondary. Accurate diagnosis and management are crucial to prevent complications and identify associated anomalies. Case Presentation: A 28-year-old primigravida’s fetus was diagnosed with unilateral megaureter at 20 weeks’ gestation, with a ureteral diameter of 8 mm and mild hydronephrosis. Serial ultrasounds confirmed stable findings, and postnatal follow-up showed spontaneous resolution. Results: Conservative antenatal management with multidisciplinary consultation resulted in favorable outcomes without surgical intervention. Conclusion: This case underscores the role of ultrasound in diagnosing megaureter and the efficacy of conservative management in uncomplicated cases, emphasizing the need to rule out chromosomal anomalies like trisomy 13.