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Prenatal diagnosis of a fetus with ring chromosomal 15 by two- and three-dimensional ultrasonography.
[congenital diaphragmatic hernia]
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
2
D-
and
3
D-
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
15
q
26
.
1
-
q
26
.
2
.
Diseases
Validation
Diseases presenting
"early onset"
symptom
22q11.2 deletion syndrome
alexander disease
alpha-thalassemia
benign recurrent intrahepatic cholestasis
cadasil
canavan disease
coats disease
cohen syndrome
congenital diaphragmatic hernia
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erythropoietic protoporphyria
fabry disease
familial mediterranean fever
homocystinuria without methylmalonic aciduria
inclusion body myositis
kindler syndrome
krabbe disease
papillon-lefèvre syndrome
primary hyperoxaluria type 1
pyruvate dehydrogenase deficiency
scrub typhus
sneddon syndrome
triple a syndrome
von hippel-lindau disease
werner syndrome
wolf-hirschhorn syndrome
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