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Taiwan J Obstet Gynecol ; 61(3): 504-509, 2022 May.
Article in English | MEDLINE | ID: mdl-35595446

ABSTRACT

OBJECTIVE: The 18q terminal deletion with inverted duplication is an extremely rare abnormality, with only three confirmed cases in Europe to date. Here, we report, for the first time, a case of de novo 18q inv-dup-del in a Turkish pregnant woman. CASE REPORT: A 30-year-old pregnant woman was referred for genetic analysis at her 25th gestational week due to foetal diaphragmatic hernia and rocker bottom feet. Cytogenetic analysis of the parents revealed a karyotype of 46,XX,inv(18) (p11.3q21.3) of the mother and a normal karyotype of the father. The foetal karyotype was defined as 46,XX,rec(18)del(18q)inv(18) (p11.3q21.3)mat. CONCLUSION: To our knowledge, this is the first report of a prenatal diagnosis. Genetic counselling issues for this family, particularly affected individuals, include an increased likelihood of reduced fertility and a risk of recurrence of parental inversion equal to 1/2 in surviving offspring.


Subject(s)
Abnormalities, Multiple , Chromosome Deletion , Abnormalities, Multiple/diagnosis , Abnormalities, Multiple/genetics , Adult , Chromosome Inversion/genetics , Cytogenetic Analysis , Female , Fetus , Humans , Pregnancy , Prenatal Diagnosis
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