Turner syndrome-omphalocele association: Incidence, karyotype, phenotype and fetal outcome

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Ivonne Bedei - , Justus Liebig University Giessen (Author)
  • Karl Philipp Gloning - , Prenatal Medicine and Genetics München (Author)
  • Luc Joyeux - , Baylor College of Medicine (Author)
  • Matthias Meyer-Wittkopf - , Klinikum Rheine: Mathias-Spital Rheine (Author)
  • Daria Willner - , Center for Prenatal Medicine and Human Genetics (Author)
  • Martin Krapp - , Center for Prenatal Medicine on Elbe (Author)
  • Alexander Scharf - , Practice for Prenatal Medicine Mainz (Author)
  • Jan Degenhardt - , Praenatal Plus (Author)
  • Kai Sven Heling - , Center of Prenatal Diagnosis and Human Genetics (Author)
  • Peter Kozlowski - , Praenatal.de (Author)
  • Kathrin Trautmann - , Center for Prenatal Medicine “am Salzhaus” (Author)
  • Kai M. Jahns - , Johannes Gutenberg University Mainz (Author)
  • Annegret Geipel - , University of Bonn (Author)
  • Ismail Tekesin - , Prenatal Medicine Stuttgart (Author)
  • Michael Elsässer - , Heidelberg University  (Author)
  • Lucas Wilhelm - , Westend Ultrasound (Author)
  • Ingo Gottschalk - , University of Cologne (Author)
  • Jan Erik Baumüller - , Gynaekologikum Frankfurt (Author)
  • Cahit Birdir - , Department of Gynecology and Obstetrics (Author)
  • Andreas Schröer - , Center for Prenatal Diagnosis (Author)
  • Felix Zöllner - , Justus Liebig University Giessen (Author)
  • Aline Wolter - , Justus Liebig University Giessen (Author)
  • Johanna Schenk - , Justus Liebig University Giessen (Author)
  • Tascha Gehrke - , Justus Liebig University Giessen (Author)
  • Alicia Spaeth - , Justus Liebig University Giessen (Author)
  • Roland Axt-Fliedner - , Justus Liebig University Giessen (Author)

Abstract

Objective: Omphalocele is known to be associated with genetic anomalies like trisomy 13, 18 and Beckwith–Wiedemann syndrome, but not with Turner syndrome (TS). Our aim was to assess the incidence of omphalocele in fetuses with TS, the phenotype of this association with other anomalies, their karyotype, and the fetal outcomes. Method: Retrospective multicenter study of fetuses with confirmed diagnosis of TS. Data were extracted from a detailed questionnaire sent to specialists in prenatal ultrasound. Results: 680 fetuses with TS were included in this analysis. Incidence of small omphalocele in fetuses diagnosed ≥12 weeks was 3.1%. Including fetuses diagnosed before 12 weeks, it was 5.1%. 97.1% (34/35) of the affected fetuses had one or more associated anomalies including increased nuchal translucency (≥3 mm) and/or cystic hygroma (94.3%), hydrops/skin edema (71.1%), and cardiac anomalies (40%). The karyotype was 45,X in all fetuses. Fetal outcomes were poor with only 1 fetus born alive. Conclusion: TS with 45,X karyotype but not with X chromosome variants is associated with small omphalocele. Most of these fetuses have associated anomalies and a poor prognosis. Our data suggest an association of TS with omphalocele, which is evident from the first trimester.

Details

Original languageEnglish
Pages (from-to)183-191
Number of pages9
JournalPrenatal diagnosis
Volume43 (2023)
Issue number2
Publication statusPublished - 14 Feb 2023
Peer-reviewedYes

External IDs

PubMed 36600414

Keywords

Keywords

  • Pregnancy, Female, Humans, Turner Syndrome/complications, Hernia, Umbilical/diagnostic imaging, Ultrasonography, Prenatal, Incidence, Nuchal Translucency Measurement, Karyotype, Edema, Fetus, Phenotype, Chromosome Aberrations

Library keywords