Prenatal diagnosis of a fetus with mosaic ring chromosome 13: Case report and review of the literature

Abstract

Objective: To diagnose the ring chromosome 13 (r(13)) in a fetus, and analyze the genotype–phenotype correlation. Case report: A 26-year-old woman who was second pregnancy, underwent amniocentesis at 18 weeks of gestation because of the increased nuchal translucency (NT). Prenatal ultrasound showed the NT thickness was 3.5 mm at 12+1 weeks of gestation and nuchal fold (NF) was 6.1 mm at 18 weeks of gestation, and amniotic fluid karyotype analysis revealed mosaic r(13). CMA detected a 16.293 Mb duplication at 13q21.32q31.1 and 31.303 Mb deletion at 13q31.1q34. Conclusion: R(13) is a very rare chromosomal abnormality. Cytogenetic examination combined with CMA can provide accurate diagnosis and effective information for genetic counseling.

Keywords

• Prenatal diagnosis
• Ring chromosome
• Chromosomal microarray analysis
• Nuchal translucency
• Genetic counseling