PMID- 21851937 OWN - NLM STAT- MEDLINE DCOM- 20111215 LR - 20111031 IS - 1556-5653 (Electronic) IS - 0015-0282 (Linking) VI - 96 IP - 5 DP - 2011 Nov TI - De novo exceptional complex chromosomal rearrangement in a healthy fertile male: case report and review of the literature. PG - 1160-4 LID - 10.1016/j.fertnstert.2011.07.1114 [doi] AB - OBJECTIVE: To report a de novo exceptional complex chromosomal rearrangement (CCR) with four breakpoints in the male partner of a couple with recurrent abortions. DESIGN: Case report and review of the literature. SETTING: Genetics laboratory in a private hospital. PATIENT(S): A couple referred for recurrent abortions. INTERVENTION(S): Cytogenetic and sperm fluorescence in situ hybridization (FISH) techniques. MAIN OUTCOME MEASURE(S): Karyotype and FISH sperm results. RESULT(S): The couple was phenotypically normal, with no family history of miscarriage or infertility. Female karyotype was normal. Male karyotype followed by FISH analysis showed a de novo CCR with four breakpoints: t(5,13,16)(q11.1, q14.3, q12.2), ins(16;13)(q12.2;q?q14.2). ish t(5;13;16)(wcp5+,wcp13+), ins(16;13)(wcp13+). CONCLUSION(S): Exceptional de novo CCR male carriers with recurrent abortions are extremely rare. Patients with CCRs have limited options to achieve a normal pregnancy. Careful consideration and assessment should be provided upon counseling of couples with CCRs. CI - Copyright (c) 2011 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved. FAU - Farra, Chantal AU - Farra C AD - Department of Pathology and Laboratory Medicine, American University of Beirut Medical Center, Beirut, Lebanon. FAU - Singer, Sylke AU - Singer S FAU - Dufke, Andreas AU - Dufke A FAU - Ashkar, Hanine AU - Ashkar H FAU - Monsef, Carla AU - Monsef C FAU - Awwad, Johnny AU - Awwad J LA - eng PT - Case Reports PT - Journal Article PT - Review PL - United States TA - Fertil Steril JT - Fertility and sterility JID - 0372772 SB - IM MH - Abortion, Habitual/*genetics/physiopathology MH - Adult MH - *Chromosome Aberrations MH - *Chromosome Breakpoints MH - *Chromosomes, Human, Pair 13 MH - *Chromosomes, Human, Pair 16 MH - *Chromosomes, Human, Pair 5 MH - Female MH - Fertility/*genetics MH - *Gene Rearrangement MH - Genetic Predisposition to Disease MH - Humans MH - In Situ Hybridization, Fluorescence MH - Karyotyping MH - Male MH - Middle Aged MH - Phenotype MH - Pregnancy MH - Pregnancy Trimester, First EDAT- 2011/08/20 06:00 MHDA- 2011/12/16 06:00 CRDT- 2011/08/20 06:00 PHST- 2011/05/10 00:00 [received] PHST- 2011/06/14 00:00 [revised] PHST- 2011/07/20 00:00 [accepted] PHST- 2011/08/20 06:00 [entrez] PHST- 2011/08/20 06:00 [pubmed] PHST- 2011/12/16 06:00 [medline] AID - S0015-0282(11)02230-8 [pii] AID - 10.1016/j.fertnstert.2011.07.1114 [doi] PST - ppublish SO - Fertil Steril. 2011 Nov;96(5):1160-4. doi: 10.1016/j.fertnstert.2011.07.1114.