Septated fetal bladder in a case of 2q13 deletion

IF 0.1 Q4 OBSTETRICS & GYNECOLOGY
María Montenegro del Moral, Gonzalez Isabel, A. I. Padilla Pérez, Margarita Álvarez-de-la-Rosa Rodríguez
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Abstract

Abstract Objectives We aim to report a case of a septated urinary bladder with kidney dysplasia in a fetus presenting with 2q13 microdeletion. Several genes have been related to urogenital malformations. Reports of fetal multi-septated urinary bladder are extremely rare. Deletion 2q13 is responsible for a wide range of phenotypic manifestations but not commonly urogenital diseases. Case presentation We present a case of a primigravida with no contributing history referred to our center for suspected fetal kidney dysplasia. Ultrasound scan at 25 weeks gestation revealed septated urinary bladder and severe pelvic renal dilatation. CGH array showed de novo deletion 2q13. Upon counseling the parents opted for termination. Autopsy confirmed the urinary tract findings and normal external female genitalia. Conclusions To the best of our knowledge this is the first report of a 2q13 microdeletion and septated bladder. We suggest offering genetic counseling at the finding of a septated bladder and determine prognosis upon renal parenchymal destruction.
2q13缺失1例胎儿膀胱分离
摘要目的我们报告一例胎儿膀胱分离伴肾发育不良,表现为2q13微缺失。一些基因与泌尿生殖畸形有关。胎儿多裂膀胱的报道是非常罕见的。缺失2q13导致了广泛的表型表现,但不常见的泌尿生殖系统疾病。病例介绍:我们报告一例无病史的初产妇因疑似胎儿肾发育不良而来本中心就诊。妊娠25周超声扫描显示膀胱分离和严重的盆腔肾扩张。CGH阵列显示2q13从头缺失。经咨询,父母选择了终止妊娠。尸检证实了泌尿道检查结果和正常的女性外生殖器。结论:据我们所知,这是第一例关于2q13微缺失和膀胱分离的报道。我们建议在发现膀胱分离时提供遗传咨询,并在肾实质破坏时确定预后。
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来源期刊
Case Reports in Perinatal Medicine
Case Reports in Perinatal Medicine OBSTETRICS & GYNECOLOGY-
自引率
0.00%
发文量
37
期刊介绍: Case Reports in Perinatal Medicine is a double-blind peer-reviewed journal. The objective of the new journal is very similar to that of JPM. In addition to evidence-based studies, practitioners in clinical practice esteem especially exemplary reports of cases that reveal specific manifestations of diseases, its progress or its treatment. We consider case reports and series to be brief reports describing an isolated clinical case or a small number of cases. They may describe new or uncommon diagnoses, unusual outcomes or prognosis, new or infrequently used therapies and side effects of therapy not usually discovered in clinical trials. They represent the basic concept of experiences for studies on representative groups for further evidence-based research. The potential roles of case reports and case series are: Recognition and description of new diseases Detection of drug side effects (adverse or beneficial) Study of mechanisms of disease Medical education and audit Recognition of rare manifestations of disease.
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