Severe Congenital Diaphragmatic Hernia With Trisomy 9: A Case Report and Review of the Literature.

amniocentesis congenital diaphragmatic hernia fetal ultrasonography prenatal genetic testing trisomy 9

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Aug 2022
Historique:
accepted: 25 08 2022
entrez: 28 9 2022
pubmed: 29 9 2022
medline: 29 9 2022
Statut: epublish

Résumé

Congenital diaphragmatic hernia (CDH) is known to be complicated with various chromosomal abnormalities. However, the grade of pulmonary hypoplasia of CDH complicated by trisomy 9 is not known. This information is essential to the mother who has had a fetus with the same complication. We report a case of severe CDH with trisomy 9. The fetus had fetal growth restriction and multiple anomalies, including severe left CDH (observed/expected lung-to-head ratio 13.7%, liver-up, stomach grade 3 in Kitano classification), mild ventriculomegaly, low-set ear, rocker bottom, and single umbilical artery. Chromosomal test by amniocentesis showed a karyotype of 47,XX,+9. The neonate was born alive at 34 weeks but died 49 minutes after birth. In the literature review, this case and seven cases of complete trisomy 9 had CDH, and four of them were explained as "large" or "severe" CDH. In conclusion, trisomy 9 might be occasionally complicated by severe CDH.

Identifiants

pubmed: 36168364
doi: 10.7759/cureus.28395
pmc: PMC9506681
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e28395

Informations de copyright

Copyright © 2022, Fuma et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Kazuya Fuma (K)

Obstetrics and Gynecology, Nagoya University Graduate School of Medicine, Nagoya, JPN.

Tomomi Kotani (T)

Obstetrics and Gynecology, Nagoya University Hospital, Nagoya, JPN.

Noriyuki Nakamura (N)

Obstetrics and Gynecology, Nagoya University Graduate School of Medicine, Nagoya, JPN.

Takafumi Ushida (T)

Obstetrics and Gynecology, Nagoya University Graduate School of Medicine, Nagoya, JPN.

Hiroaki Kajiyama (H)

Obstetrics and Gynecology, Nagoya University Graduate School of Medicine, Nagoya, JPN.

Classifications MeSH