A rare case of trisomy 13 mosaicism with only findings on first-trimester ultrasound single umbilical artery and increased nuchal translucency.

IF 0.3 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Hippokratia Pub Date : 2024-01-01
A Gerede, M Zafrakas, P Papasozomenou, S Papanikolopoulou, A Athanasiadis
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引用次数: 0

Abstract

Background: Trisomy 13 is a chromosomal defect with high prenatal and postnatal mortality that may reach 87 % during the first year of life. More than 90 % of cases of fetuses with trisomy 13 may be detected by first-trimester ultrasound based on severe fetal structural malformations together with increased nuchal translucency thickness.

Case description: We report a case of a fetus with trisomy 13 mosaicism with only anomalous findings on prenatal ultrasound of a single umbilical artery and increased nuchal translucency in the absence of major structural abnormalities.

Conclusion: This case highlights the importance of performing first-trimester fetal ultrasound by specialists in Fetal Medicine to avoid misdiagnosis. Trisomy 13 should be included in the differential diagnosis and prenatal counseling in cases with a single umbilical artery and increased fetal nuchal translucency, even in the absence of major anatomic anomalies. HIPPOKRATIA 2024, 28 (1):38-40.

一个罕见的 13 三体嵌合病例,仅在第一胎超声检查中发现单脐动脉和颈部透亮度增加。
背景:13 三体综合征是一种染色体缺陷,具有很高的产前和产后死亡率,出生后第一年的死亡率可达 87%。90% 以上的 13 三体综合征胎儿可通过产前超声检查发现,因为胎儿结构严重畸形,同时颈部透明层厚度增加:我们报告了一例 13 三体嵌合胎儿,其产前超声检查仅发现单脐动脉异常和颈部透明层增厚,而无重大结构畸形:本病例强调了由胎儿医学专家进行产前胎儿超声检查以避免误诊的重要性。对于单脐动脉和胎儿颈部透明带增加的病例,即使没有重大的解剖畸形,也应将 13 三体综合征纳入鉴别诊断和产前咨询。脐带绕颈症的诊断与产前咨询》(Hippokratia 2024,28 (1):38-40)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Hippokratia
Hippokratia MEDICINE, GENERAL & INTERNAL-
CiteScore
1.10
自引率
0.00%
发文量
0
审稿时长
6-12 weeks
期刊介绍: Hippokratia journal is a quarterly issued, open access, peer reviewed, general medical journal, published in Thessaloniki, Greece. It is a forum for all medical specialties. The journal is published continuously since 1997, its official language is English and all submitted manuscripts undergo peer review by two independent reviewers, assigned by the Editor (double blinded review process). Hippokratia journal is managed by its Editorial Board and has an International Advisory Committee and over 500 expert Reviewers covering all medical specialties and additionally Technical Reviewers, Statisticians, Image processing Experts and a journal Secretary. The Society “Friends of Hippokratia Journal” has the financial management of both the printed and electronic edition of the journal.
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