Journal of Gynecology and Obstetrics

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Meckel-Gruber Syndrome: A Case Report at RHUH

Received: 01 July 2020    Accepted: 13 July 2020    Published: 10 August 2020
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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.

DOI 10.11648/j.jgo.20200804.17
Published in Journal of Gynecology and Obstetrics (Volume 8, Issue 4, July 2020)
Page(s) 108-112
Creative Commons

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.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Meckel-Gruber, Syndromes, Ultrasound, Antenatal Diagnosis, Congenital Abnormalities

References
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[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.
Author Information
  • Department of Obstetrics and Gynecology, Rafic Hariri University Hospital, Beirut, Lebanon; Department of Obstetrics and Gynecology, Faculty of Medical Sciences, The Lebanese University, Beirut, Lebanon

  • Department of Obstetrics and Gynecology, Rafic Hariri University Hospital, Beirut, Lebanon; Department of Obstetrics and Gynecology, Faculty of Medical Sciences, The Lebanese University, Beirut, Lebanon

  • Department of Obstetrics and Gynecology, Faculty of Medicine, Holy Spirit University of Kaslik, Kaslik, Lebanon

  • Department of Obstetrics and Gynecology, Faculty of Medicine, Paris 12 University, Creteil, Ile de France, France

  • Department of Obstetrics and Gynecology, Rafic Hariri University Hospital, Beirut, Lebanon

Cite This Article
  • 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

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    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

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    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

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  • @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://download.sciencepg.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}
    }
    

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    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.
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