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Published in: Journal of Medical Case Reports 1/2022

Open Access 01-12-2022 | Diaphragmatic Hernia | Case report

5p deletion with congenital diaphragmatic hernia: a case report

Authors: Tomomi Kotani, Takafumi Ushida, Noriyuki Nakamura, Kenji Imai, Yukako Iitani, Sho Tano, Shigenori Iwagaki, Yuichiro Takahashi, Miharu Ito, Masahiro Hayakawa, Hiroaki Kajiyama

Published in: Journal of Medical Case Reports | Issue 1/2022

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Abstract

Background

5p deletion syndrome is known as cri-du-chat syndrome, but there are no reports on congenital diaphragmatic hernia complications associated with it.

Case presentation

A 28-year-old primigravida Japanese woman was referred for 5 mm of nuchal translucency. Fetal growth restriction was found at 20 weeks, and a left-sided congenital diaphragmatic hernia was diagnosed at 24 weeks. The karyotype of the fetus was diagnosed as 46, XX, del(5)(p14) and referred to our hospital. At 36 + 6 weeks, a 1524 g female infant was delivered after premature membrane rupture, with Apgar scores of 4 and 6 at 1 and 5 minutes, respectively. The baby was intubated immediately with sedation and muscle relaxation, after birth for initial treatment for congenital diaphragmatic hernia. The peripheral blood karyotype was consistent with the prenatal result. The infant was discharged alive, without any respiratory support, after the defect of the diaphragm was repaired.

Conclusion

The results of this study may be helpful for antenatal genetic counseling.
Literature
1.
go back to reference Lejeune J, Lafourcade J, Berger R, Vialatte J, Boeswillwald M, Seringe P, Turpin R. 3 cases of partial deletion of the short arm of a 5 chromosome. C R Hebd Seances Acad Sci. 1963;257:3098–102.PubMed Lejeune J, Lafourcade J, Berger R, Vialatte J, Boeswillwald M, Seringe P, Turpin R. 3 cases of partial deletion of the short arm of a 5 chromosome. C R Hebd Seances Acad Sci. 1963;257:3098–102.PubMed
2.
go back to reference Rodríguez-Caballero A, Torres-Lagares D, Rodríguez-Pérez A, Serrera-Figallo MA, Hernández-Guisado JM, Machuca-Portillo G. Cri du chat syndrome: a critical review. Med Oral Patol Oral Cir Bucal. 2010;15:e473-478.CrossRef Rodríguez-Caballero A, Torres-Lagares D, Rodríguez-Pérez A, Serrera-Figallo MA, Hernández-Guisado JM, Machuca-Portillo G. Cri du chat syndrome: a critical review. Med Oral Patol Oral Cir Bucal. 2010;15:e473-478.CrossRef
3.
go back to reference Nevado J, Bel-Fenellos C, Sandoval-Talamantes AK, Hernandez A, Biencinto-Lopez C, Martinez-Fernandez ML, Barruz P, Santos-Simarro F, Mori-Alvarez MA, Mansilla E, et al. Deep phenotyping and genetic characterization of a cohort of 70 individuals with 5p minus syndrome. Front Genet. 2021;12: 645595.CrossRef Nevado J, Bel-Fenellos C, Sandoval-Talamantes AK, Hernandez A, Biencinto-Lopez C, Martinez-Fernandez ML, Barruz P, Santos-Simarro F, Mori-Alvarez MA, Mansilla E, et al. Deep phenotyping and genetic characterization of a cohort of 70 individuals with 5p minus syndrome. Front Genet. 2021;12: 645595.CrossRef
4.
go back to reference Mainardi PC, Perfumo C, Cali A, Coucourde G, Pastore G, Cavani S, Zara F, Overhauser J, Pierluigi M, Bricarelli FD. Clinical and molecular characterisation of 80 patients with 5p deletion: genotype–phenotype correlation. J Med Genet. 2001;38:151–8.CrossRef Mainardi PC, Perfumo C, Cali A, Coucourde G, Pastore G, Cavani S, Zara F, Overhauser J, Pierluigi M, Bricarelli FD. Clinical and molecular characterisation of 80 patients with 5p deletion: genotype–phenotype correlation. J Med Genet. 2001;38:151–8.CrossRef
5.
go back to reference Wu Q, Niebuhr E, Yang H, Hansen L. Determination of the “critical region” for cat-like cry of cri-du-chat syndrome and analysis of candidate genes by quantitative PCR. Eur J Hum Genet. 2005;13:475–85.CrossRef Wu Q, Niebuhr E, Yang H, Hansen L. Determination of the “critical region” for cat-like cry of cri-du-chat syndrome and analysis of candidate genes by quantitative PCR. Eur J Hum Genet. 2005;13:475–85.CrossRef
6.
go back to reference Traisrisilp K, Yanase Y, Ake-Sittipaisarn S, Tongsong T. Prenatal sonographic features of cri-du-chat syndrome: a case report and analytical literature review. Diagnostics (Basel). 2022;12:421.CrossRef Traisrisilp K, Yanase Y, Ake-Sittipaisarn S, Tongsong T. Prenatal sonographic features of cri-du-chat syndrome: a case report and analytical literature review. Diagnostics (Basel). 2022;12:421.CrossRef
7.
go back to reference Niebuhr E. The cri du chat syndrome: epidemiology, cytogenetics, and clinical features. Hum Genet. 1978;44:227–75.CrossRef Niebuhr E. The cri du chat syndrome: epidemiology, cytogenetics, and clinical features. Hum Genet. 1978;44:227–75.CrossRef
8.
go back to reference Gallot D, Boda C, Ughetto S, Perthus I, Robert-Gnansia E, Francannet C, Laurichesse-Delmas H, Jani J, Coste K, Deprest J, et al. Prenatal detection and outcome of congenital diaphragmatic hernia: a French registry-based study. Ultrasound Obstet Gynecol. 2007;29:276–83.CrossRef Gallot D, Boda C, Ughetto S, Perthus I, Robert-Gnansia E, Francannet C, Laurichesse-Delmas H, Jani J, Coste K, Deprest J, et al. Prenatal detection and outcome of congenital diaphragmatic hernia: a French registry-based study. Ultrasound Obstet Gynecol. 2007;29:276–83.CrossRef
9.
go back to reference Deprest J, Brady P, Nicolaides K, Benachi A, Berg C, Vermeesch J, Gardener G, Gratacos E. Prenatal management of the fetus with isolated congenital diaphragmatic hernia in the era of the TOTAL trial. Semin Fetal Neonatal Med. 2014;19:338–48.CrossRef Deprest J, Brady P, Nicolaides K, Benachi A, Berg C, Vermeesch J, Gardener G, Gratacos E. Prenatal management of the fetus with isolated congenital diaphragmatic hernia in the era of the TOTAL trial. Semin Fetal Neonatal Med. 2014;19:338–48.CrossRef
10.
go back to reference Ito M, Terui K, Nagata K, Yamoto M, Shiraishi M, Okuyama H, Yoshida H, Urushihara N, Toyoshima K, Hayakawa M, et al. Clinical guidelines for the treatment of congenital diaphragmatic hernia. Pediatr Int. 2021;63:371–90.CrossRef Ito M, Terui K, Nagata K, Yamoto M, Shiraishi M, Okuyama H, Yoshida H, Urushihara N, Toyoshima K, Hayakawa M, et al. Clinical guidelines for the treatment of congenital diaphragmatic hernia. Pediatr Int. 2021;63:371–90.CrossRef
11.
go back to reference Snoek KG, Reiss IK, Greenough A, Capolupo I, Urlesberger B, Wessel L, Storme L, Deprest J, Schaible T, van Heijst A, Tibboel D. Standardized postnatal management of infants with congenital diaphragmatic hernia in Europe: the CDH EURO Consortium Consensus—2015 update. Neonatology. 2016;110:66–74.CrossRef Snoek KG, Reiss IK, Greenough A, Capolupo I, Urlesberger B, Wessel L, Storme L, Deprest J, Schaible T, van Heijst A, Tibboel D. Standardized postnatal management of infants with congenital diaphragmatic hernia in Europe: the CDH EURO Consortium Consensus—2015 update. Neonatology. 2016;110:66–74.CrossRef
12.
go back to reference Brosens E, Peters NCJ, van Weelden KS, Bendixen C, Brouwer RWW, Sleutels F, Bruggenwirth HT, van Ijcken WFJ, Veenma DCM, Otter S, et al. Unraveling the genetics of congenital diaphragmatic hernia: an ongoing challenge. Front Pediatr. 2021;9: 800915.CrossRef Brosens E, Peters NCJ, van Weelden KS, Bendixen C, Brouwer RWW, Sleutels F, Bruggenwirth HT, van Ijcken WFJ, Veenma DCM, Otter S, et al. Unraveling the genetics of congenital diaphragmatic hernia: an ongoing challenge. Front Pediatr. 2021;9: 800915.CrossRef
13.
go back to reference Wynn J, Yu L, Chung WK. Genetic causes of congenital diaphragmatic hernia. Semin Fetal Neonatal Med. 2014;19:324–30.CrossRef Wynn J, Yu L, Chung WK. Genetic causes of congenital diaphragmatic hernia. Semin Fetal Neonatal Med. 2014;19:324–30.CrossRef
14.
go back to reference Veenma D, Beurskens N, Douben H, Eussen B, Noomen P, Govaerts L, Grijseels E, Lequin M, de Krijger R, Tibboel D, et al. Comparable low-level mosaicism in affected and non affected tissue of a complex CDH patient. PLoS ONE. 2010;5: e15348.CrossRef Veenma D, Beurskens N, Douben H, Eussen B, Noomen P, Govaerts L, Grijseels E, Lequin M, de Krijger R, Tibboel D, et al. Comparable low-level mosaicism in affected and non affected tissue of a complex CDH patient. PLoS ONE. 2010;5: e15348.CrossRef
15.
go back to reference Nakamura N, Ushida T, Moriyama Y, Imai K, Nakano-Kobayashi T, Osuka S, Goto M, Kajiyama H, Asada H, Hayakawa M, Kotani T. Trisomy 5p with bilateral congenital diaphragmatic hernia: a case report. J Med Case Rep. 2021;15:114.CrossRef Nakamura N, Ushida T, Moriyama Y, Imai K, Nakano-Kobayashi T, Osuka S, Goto M, Kajiyama H, Asada H, Hayakawa M, Kotani T. Trisomy 5p with bilateral congenital diaphragmatic hernia: a case report. J Med Case Rep. 2021;15:114.CrossRef
16.
go back to reference Chehimi SN, Almeida VT, Nascimento AM, Zanardo ÉA, de Oliveira YG, Carvalho G, Wolff BM, Montenegro MM, de Assunção NA, Kim CA, Kulikowski LD. Novel rearrangements between different chromosomes with direct impact on the diagnosis of 5p- syndrome. Clinics (Sao Paulo). 2022;77: 100045.CrossRef Chehimi SN, Almeida VT, Nascimento AM, Zanardo ÉA, de Oliveira YG, Carvalho G, Wolff BM, Montenegro MM, de Assunção NA, Kim CA, Kulikowski LD. Novel rearrangements between different chromosomes with direct impact on the diagnosis of 5p- syndrome. Clinics (Sao Paulo). 2022;77: 100045.CrossRef
Metadata
Title
5p deletion with congenital diaphragmatic hernia: a case report
Authors
Tomomi Kotani
Takafumi Ushida
Noriyuki Nakamura
Kenji Imai
Yukako Iitani
Sho Tano
Shigenori Iwagaki
Yuichiro Takahashi
Miharu Ito
Masahiro Hayakawa
Hiroaki Kajiyama
Publication date
01-12-2022
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2022
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/s13256-022-03579-1

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