PMID- 20002903 OWN - NLM STAT- MEDLINE DCOM- 20100218 LR - 20091216 IS - 1741-4520 (Electronic) IS - 0914-3505 (Linking) VI - 49 IP - 3 DP - 2009 Sep TI - Acrania/encephalocele sequence (exencephaly) associated with 92,XXXX karyotype: early prenatal diagnosis at 9(+5) weeks by 3D transvaginal ultrasound and coelocentesis. PG - 113-5 LID - 10.1111/j.1741-4520.2009.00235.x [doi] AB - A 27-year-old pregnant woman was diagnosed by 3D transvaginal ultrasound as carrying a fetus of 9(+5) weeks gestation affected by acrania/encephalocele (exencephaly) sequence. A 2D transvaginal ultrasound-guided aspiration of 5 mL of extra-coelomic fluid was performed under cervical block before uterine suction. Conventional cytogenetic analysis demonstrated a 92,XXXX karyotype. Transvaginal 2D ultrasound-guided coelocentesis for rapid karyotyping can be proposed to women who are near to miscarriage or in cases where a prenatal ultrasound diagnosis of congenital anomaly is performed at an early stage of development. Genetic analysis can be performed using traditional cytogenetic analysis or can be aided by fluorescence in situ hybridization (FISH). Coelocentesis may become an integral part of first trimester armamentarium and may be clinically useful in the understanding of the pathogenesis of early prenatally diagnosed congenital anomalies. FAU - Tonni, Gabriele AU - Tonni G AD - Prenatal Diagnostic Service, Division of Obstetrics and Gynecology, Guastalla Civil Hospital, Reggio Emilia, Italy. tonni.gabriele@ausl.re.it FAU - Ventura, Alessandro AU - Ventura A FAU - Bonasoni, Maria Paola AU - Bonasoni MP LA - eng PT - Case Reports PT - Journal Article PL - Australia TA - Congenit Anom (Kyoto) JT - Congenital anomalies JID - 9306292 SB - IM MH - Adult MH - Cytogenetic Analysis MH - Early Diagnosis MH - Encephalocele/diagnosis/*genetics MH - Female MH - Genetic Testing MH - Humans MH - In Situ Hybridization, Fluorescence MH - Karyotyping MH - Neural Tube Defects/diagnosis/*genetics MH - Pregnancy MH - Pregnancy Trimester, First MH - *Ultrasonography, Prenatal EDAT- 2009/12/17 06:00 MHDA- 2010/02/19 06:00 CRDT- 2009/12/17 06:00 PHST- 2009/12/17 06:00 [entrez] PHST- 2009/12/17 06:00 [pubmed] PHST- 2010/02/19 06:00 [medline] AID - CGA235 [pii] AID - 10.1111/j.1741-4520.2009.00235.x [doi] PST - ppublish SO - Congenit Anom (Kyoto). 2009 Sep;49(3):113-5. doi: 10.1111/j.1741-4520.2009.00235.x.