A rare lethal autosomal recessive condition called Meckel-Gruber Syndrome (MGS) has a clinical and genetical heterogenicity. A 15-year-old primigravid presented at the 16th gestational week of her pregnancy at the Rafic Hariri University Hospital (RHUH) for antenatal ultrasonography. She had a third degree consanguineous marriage with no previous uterine scars, no previous invasive testing, no previous fetal anomaly, no comorbidities and no family history of congenital anomalies. On the other hand, her current pregnancy was not the result of an Artificial Reproductive technique (ART) and her medication at home was only based on vitamins and calcium. The antenatal ultrasonography showed the following features: (1) occipital encephalocele (2) diffuse subcutaneous edema (3) bilateral dysplastic kidneys and the bladder was not visualized. These features were suggestive of Meckel Gruber Syndrome (MGS). We concluded that ultrasound in the context of genetic diseases, especially our MGS case, is considered as a secondary prevention tool.
Published in | Journal of Gynecology and Obstetrics (Volume 8, Issue 4) |
DOI | 10.11648/j.jgo.20200804.17 |
Page(s) | 108-112 |
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
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Copyright © The Author(s), 2020. Published by Science Publishing Group |
Meckel-Gruber, Syndromes, Ultrasound, Antenatal Diagnosis, Congenital Abnormalities
[1] | Mecke J. Passarge E Encephalocele, polycystic kidneys and polydactyly as an autosomal recessive trait simulating certain other disorders Ann Genet 1971; 14: 97. |
[2] | Karjalainen 0, Aula P, sepala M et al Prenatal diagnosis of the Meckel Syndrome obstet Gynecol 1981; 47: 136. |
[3] | Gruber G B. Beitrage zur Frage “gekoppelter” Missbildungen akrocephalossyndactylie und dysencphalia splancnocystica. Beitr path Anat 1934; 93: 459-476. |
[4] | Meckel JF Beschreiburg zweier durch sehr ahnliche bildungsabweichungen entsteller Geschwister. Deutsch Archiv physiol 1822; 7: 99-172. |
[5] | Jha T, Bardhan J, Das B, Patra KK, Dhali B, Seth S. meckel-Gruber syndrome: a rare clinical entity J Indian Med Assoc 2010; 108 (9): 611-2 |
[6] | Salonen R, Norio R, Reynolds James F. The Meckel syndrome: clinicopathological findings in 67 patients Am J Med Genet 1984. (4): 6771-689. |
[7] | Behairy NH, Talaat S, Saleem SN, El Raouf MA. magnetic resonance imaging in fetal anomalies: what does it add to 3D and 4DUS? Eur J Radiol 2009; 74 (1): 250-5. |
[8] | Nybergg DA, Hallesy D, Mahony BS et al Meckel Gruber syndrome: importance of prenatal diagnosisJ Ultrasound Med 1990 9: 691. |
[9] | Jones KL, Meckle Gruber syndrome Smith’s recognizable pattern of human malformations 5th ed. Philadelphia: W. B. Saunders; 1997. |
[10] | Celentano C, perfume F, Liberati M, Gallo G, Di Nisio Q, Rotmensch S, prenatal diagnosis of Meckel Gruber syndrome in a pregnancy obtained with ICSI, J Assist Reprod Genet 2006; 23 (6): 281-3. |
[11] | Wright C, Healicon R, English C, Burn J. Meckel syndrome: what are the minimum diagnostic criteria ? J Med Genet. 1994; 31 (6): 482-5. |
[12] | Salonen R, Norio R The Meckel syndrome in Finland: epidemiologic and genetic aspects. Am J Med Genet. 1984; 18 (4): 691-8. |
[13] | Shaheen R, Faqeih E, Seidahmed MZ, Sunker A, Alali FE, khadijah A et al A TCTN2 mutation defines a novel Meckel Gruber syndrome locus. Hum Mutat 2011 32 (6): 573-8. |
[14] | N Dahiya, S vijay, S Subhramaniam, Antenatal ultrasound diagnosis of Meckel Gruber SyndromeIndian J Radiol Imaging 2001; 11: 199-201. |
[15] | Monteagudo A, Timor-tritsch I fetal neurosonography of congenital brain anomalies. Ultrasonography of the prenatal and neonatal brain, McGraw-Hill, New York 2001. |
[16] | monteagudo A, Alayon A, Mayberry P, walker-warburg syndrome: case report and review of the literature, J ultrasound Med 2001; 20 (4): 419. |
[17] | Chaumoitre K, Brun M, Cassart M, Maugey-Laulom B, Eurin D, dider F, Avni EF, differential diagnosis of fetal hyperechogenic cystic kidneys unrelated to renal tract anomalies: A multicenter study, Ultrasound Obstet Gynecol 2006; 28 (7): 911. |
[18] | Brezina PR, Brezina DS, Kearns WG, preimplantation genetic testing BMJ 2012; 345: e5908. |
APA Style
Darido Jessie, Khazaal Janoub, El Hachem Larissa, Luk Melodie, Chahine Rabih. (2020). Meckel-Gruber Syndrome: A Case Report at RHUH. Journal of Gynecology and Obstetrics, 8(4), 108-112. https://doi.org/10.11648/j.jgo.20200804.17
ACS Style
Darido Jessie; Khazaal Janoub; El Hachem Larissa; Luk Melodie; Chahine Rabih. Meckel-Gruber Syndrome: A Case Report at RHUH. J. Gynecol. Obstet. 2020, 8(4), 108-112. doi: 10.11648/j.jgo.20200804.17
AMA Style
Darido Jessie, Khazaal Janoub, El Hachem Larissa, Luk Melodie, Chahine Rabih. Meckel-Gruber Syndrome: A Case Report at RHUH. J Gynecol Obstet. 2020;8(4):108-112. doi: 10.11648/j.jgo.20200804.17
@article{10.11648/j.jgo.20200804.17, author = {Darido Jessie and Khazaal Janoub and El Hachem Larissa and Luk Melodie and Chahine Rabih}, title = {Meckel-Gruber Syndrome: A Case Report at RHUH}, journal = {Journal of Gynecology and Obstetrics}, volume = {8}, number = {4}, pages = {108-112}, doi = {10.11648/j.jgo.20200804.17}, url = {https://doi.org/10.11648/j.jgo.20200804.17}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20200804.17}, abstract = {A rare lethal autosomal recessive condition called Meckel-Gruber Syndrome (MGS) has a clinical and genetical heterogenicity. A 15-year-old primigravid presented at the 16th gestational week of her pregnancy at the Rafic Hariri University Hospital (RHUH) for antenatal ultrasonography. She had a third degree consanguineous marriage with no previous uterine scars, no previous invasive testing, no previous fetal anomaly, no comorbidities and no family history of congenital anomalies. On the other hand, her current pregnancy was not the result of an Artificial Reproductive technique (ART) and her medication at home was only based on vitamins and calcium. The antenatal ultrasonography showed the following features: (1) occipital encephalocele (2) diffuse subcutaneous edema (3) bilateral dysplastic kidneys and the bladder was not visualized. These features were suggestive of Meckel Gruber Syndrome (MGS). We concluded that ultrasound in the context of genetic diseases, especially our MGS case, is considered as a secondary prevention tool.}, year = {2020} }
TY - JOUR T1 - Meckel-Gruber Syndrome: A Case Report at RHUH AU - Darido Jessie AU - Khazaal Janoub AU - El Hachem Larissa AU - Luk Melodie AU - Chahine Rabih Y1 - 2020/08/10 PY - 2020 N1 - https://doi.org/10.11648/j.jgo.20200804.17 DO - 10.11648/j.jgo.20200804.17 T2 - Journal of Gynecology and Obstetrics JF - Journal of Gynecology and Obstetrics JO - Journal of Gynecology and Obstetrics SP - 108 EP - 112 PB - Science Publishing Group SN - 2376-7820 UR - https://doi.org/10.11648/j.jgo.20200804.17 AB - A rare lethal autosomal recessive condition called Meckel-Gruber Syndrome (MGS) has a clinical and genetical heterogenicity. A 15-year-old primigravid presented at the 16th gestational week of her pregnancy at the Rafic Hariri University Hospital (RHUH) for antenatal ultrasonography. She had a third degree consanguineous marriage with no previous uterine scars, no previous invasive testing, no previous fetal anomaly, no comorbidities and no family history of congenital anomalies. On the other hand, her current pregnancy was not the result of an Artificial Reproductive technique (ART) and her medication at home was only based on vitamins and calcium. The antenatal ultrasonography showed the following features: (1) occipital encephalocele (2) diffuse subcutaneous edema (3) bilateral dysplastic kidneys and the bladder was not visualized. These features were suggestive of Meckel Gruber Syndrome (MGS). We concluded that ultrasound in the context of genetic diseases, especially our MGS case, is considered as a secondary prevention tool. VL - 8 IS - 4 ER -