PMID- 21071023 OWN - NLM STAT- MEDLINE DCOM- 20110422 LR - 20110222 IS - 1556-5653 (Electronic) IS - 0015-0282 (Linking) VI - 95 IP - 3 DP - 2011 Mar 1 TI - Parental karyotype may reveal the source of a pregnancy loss even in the presence of a reportedly euploid fetal karyotype. PG - 1120.e9-10 LID - 10.1016/j.fertnstert.2010.10.015 [doi] AB - OBJECTIVE: To present a case of a fetal loss in which a normal fetal karyotype was obtained by banding studies. Identification of an abnormal maternal karyotype prompted subsequent reanalysis using fluorescence in situ hybridization (FISH). DESIGN: Case report. SETTING: University-affiliated IVF center. PATIENT(S): A 32-year-old woman, G1 P0, underwent a fetal loss at 8 weeks, and a suction curettage was performed. The patient had a previous first-trimester loss. INTERVENTION(S): The fetal tissue was evaluated by banding studies and found to be normal. Parental karyotyping was performed, and the fetal tissue was reanalyzed by FISH. MAIN OUTCOME MEASURE(S): Analysis of fetal karyotype by targeted FISH. RESULT(S): Maternal karyotype demonstrated a translocation [46,XX, t(8;10)(q24.3:q25.2)]. The fetal tissue was reanalyzed by FISH, and a segment of chromosome 10 was found on chromosome 8. CONCLUSION(S): A normal fetal karyotype, as measured by banding, does not exclude a genetic etiology for pregnancy loss. In this case, maternal translocation prompted the genetics laboratory to search for a small segment of translocated extra chromosomal material. This demonstrated that despite the finding of a normal fetal karyotype, in some cases parental karyotyping may have value. CI - Copyright (c) 2011 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved. FAU - Grunfeld, Lawrence AU - Grunfeld L AD - Department of Obstetrics and Gynecology, Mount Sinai Medical Center, New York, New York 10022, USA. lgrunfeld@rmany.com FAU - Sandler, Benjamin AU - Sandler B FAU - Mukherjee, Tanmoy AU - Mukherjee T FAU - Copperman, Alan B AU - Copperman AB LA - eng PT - Case Reports PT - Journal Article DEP - 20101111 PL - United States TA - Fertil Steril JT - Fertility and sterility JID - 0372772 SB - IM MH - Abortion, Habitual/*genetics MH - Adult MH - *Chromosome Aberrations MH - *Chromosomes, Human, Pair 10 MH - *Chromosomes, Human, Pair 8 MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence MH - Parents MH - Pregnancy MH - *Translocation, Genetic EDAT- 2010/11/13 06:00 MHDA- 2011/04/26 06:00 CRDT- 2010/11/13 06:00 PHST- 2010/07/23 00:00 [received] PHST- 2010/09/17 00:00 [revised] PHST- 2010/10/13 00:00 [accepted] PHST- 2010/11/13 06:00 [entrez] PHST- 2010/11/13 06:00 [pubmed] PHST- 2011/04/26 06:00 [medline] AID - S0015-0282(10)02691-9 [pii] AID - 10.1016/j.fertnstert.2010.10.015 [doi] PST - ppublish SO - Fertil Steril. 2011 Mar 1;95(3):1120.e9-10. doi: 10.1016/j.fertnstert.2010.10.015. Epub 2010 Nov 11.