Abstract
A fetus with de novo ring chromosome 16 is presented. At 20 weeks' gestation, ultrasound
examination demonstrated bilateral clubfoot, bilateral renal pyelectasis, hypoplasia
of the corpus callosum, and transposition of the great vessel. Amniocentesis was performed.
Chromosome analysis identified a ring chromosome 16 [47,XY,r(16)] and array comparative
genomic hybridization (a-CGH) demonstrated that the ring included the euchromatic
portion 16p11.2. Postmortem examination confirmed prenatal findings. This is the first
case of de novo ring chromosome 16 diagnosed prenatally with a new phenotypic pattern
and also reinforces the importance of offering amniocentesis with a-CGH if fetal anomalies
are detected.
Keywords
Ring chromosome - supernumerary-chromosome - fetal anomalies