Traisrisilp Kuntharee, Yanase Yuri, Phirom Krittaya, Tongsong Theera
Department of Obstetrics and Gynecology, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand.
Department of Obstetrics and Gynecology, Nakornping Hospital, Chiang Mai 50180, Thailand.
Diagnostics (Basel). 2022 Apr 1;12(4):885. doi: 10.3390/diagnostics12040885.
Ring chromosome 15, a rare genetic disease, is very rarely prenatally diagnosed. We present a unique case of fetal ring chromosome 15 with ultrasound findings at 32 weeks of gestation including congenital diaphragmatic hernia, hypoplasia of the aorta with persistent left SVC, growth restriction, clubfeet and scoliosis. We also performed an analytical literature review of prenatal sonographic findings of the disease. This review suggests that ring chromosome 15 has a relatively specific sonographic pattern that could facilitate early detection. The specific sonographic features of ring chromosome 15 include fetal growth restriction, congenital diaphragmatic hernia, abnormal limb postures, cardiac defects, low-set ears and other less frequent, non-specific anomalies that can be identified in more than 50% of cases.
15号环状染色体是一种罕见的遗传病,产前诊断极为罕见。我们报告了一例独特的胎儿15号环状染色体病例,在妊娠32周时的超声检查结果包括先天性膈疝、主动脉发育不全伴永存左位上腔静脉、生长受限、马蹄内翻足和脊柱侧弯。我们还对该疾病的产前超声检查结果进行了文献分析综述。该综述表明,15号环状染色体具有相对特异的超声图像特征,有助于早期检测。15号环状染色体特异的超声特征包括胎儿生长受限、先天性膈疝、肢体姿势异常、心脏缺陷、低位耳以及其他较不常见的非特异性异常,这些异常在超过50%的病例中可以被识别。