Renal polycystic disease is a genetic condition that may be revealed or complicated during pregnancy. We report the case of a 24-year-old primigravida admitted to the Departmental University Hospital Center of Ouémé for progressive dyspnea in the context of pregnancy at 35 weeks of amenorrhea, associated with a large abdominal mass, ascites, and pleural effusion. Clinical and paraclinical investigations initially suggested Demons-Meigs syndrome secondary to an ovarian cyst. Cesarean section associated with surgical exploration allowed the diagnosis of renal polycystic disease to be established. This case highlights the diagnostic and therapeutic challenges of renal polycystic disease during pregnancy, as well as its maternal and fetal implications.
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