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From Embryology

Prenatal diagnosis of a fetus with ring chromosomal 15 by two- and three-dimensional ultrasonography

Case Rep Obstet Gynecol. 2014;2014:495702. doi: 10.1155/2014/495702. Epub 2014 Oct 20.

Britto IS1, Regina Silva Herbest S1, Tedesco GD1, Drummond CL1, Bussamra LC1, Araujo Júnior E2, Ruano R3, Ruano SH4, Aldrighi JM1. Author information Abstract We report on a prenatal diagnosis of ring chromosome 15 in a fetus with left congenital diaphragmatic hernia (CDH) and severe intrauterine growth restriction (IUGR). A 31-year-old woman, gravida 2 para 1, was referred because of increased nuchal translucency at gestational age of 13 weeks. Comprehensive fetal ultrasound examination was performed at 19 weeks revealing an early onset IUGR, left CDH with liver herniation, and hypoplastic nasal bone. Three-dimensional ultrasound (rendering mode) showed low set ears and depressed nasal bridge. Amniocentesis was performed with a result of a 46,XX,r(15) fetus after a cytogenetic study. A 1,430 g infant (less than third percentile) was born at 36 weeks. The infant presented with respiratory failure and died at 2 h of life. Postnatal karyotype from the umbilical cord confirmed the diagnosis of 15-ring chromosome. We described the main prenatal 2D- and 3D-ultrasound findings associated with ring chromosome 15. The interest in reporting the present case is that CDH can be associated with the diagnosis of 15-ring chromosome because the critical location of the normal diaphragm development is at chromosome 15q26.1-q26.2.

PMID 25389503