1
|
Song S, Wang J, Han J, Xuan Y, Zhi W, Wu Q. A case report of serpentine-like syndrome and review of literature. BMC Pregnancy Childbirth 2022; 22:181. [PMID: 35246044 PMCID: PMC8895532 DOI: 10.1186/s12884-022-04477-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2021] [Accepted: 02/15/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Serpentine-like syndrome (SLS) is a rare foetal abnormality, characterized by brachioesophagus, secondary intrathoracic stomach and vertebral deformity. Herein, we report a case of SLS diagnosed based on imaging, genetic examination and autopsy findings. CASE PRESENTATION From the 19th to 23rd weeks of gestation, the foetus presented with brachioesophagus, secondary intrathoracic stomach, intrathoracic spleen with poly-spleen malformation, spinal deformity and diaphragm dysplasia, and some abdominal organs were partly located in the thoracic cavity. After extensive counselling, the couple opted to terminate the pregnancy. Whole genome sequencing and autopsy were performed. Then, the foetus was diagnosed with SLS. DISCUSSION AND CONCLUSIONS SLS is characterized by multiorgan deformities and is associated with poor prognosis. Multiorgan deformities can be detected on prenatal sonography using three-dimensional ultrasound technology.
Collapse
Affiliation(s)
- Shijing Song
- Ultrasound Department, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, No.251 Yaojiayuan Road, Chaoyang district, Beijing, 100026, P. R. China.,Beijing Maternal and Child Health Care Hospital, Beijing, P. R. China
| | - Jingjing Wang
- Ultrasound Department, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, No.251 Yaojiayuan Road, Chaoyang district, Beijing, 100026, P. R. China.,Beijing Maternal and Child Health Care Hospital, Beijing, P. R. China
| | - Jijing Han
- Ultrasound Department, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, No.251 Yaojiayuan Road, Chaoyang district, Beijing, 100026, P. R. China.,Beijing Maternal and Child Health Care Hospital, Beijing, P. R. China
| | - Yinghua Xuan
- Ultrasound Department, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, No.251 Yaojiayuan Road, Chaoyang district, Beijing, 100026, P. R. China.,Beijing Maternal and Child Health Care Hospital, Beijing, P. R. China
| | - Wenxue Zhi
- Ultrasound Department, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, No.251 Yaojiayuan Road, Chaoyang district, Beijing, 100026, P. R. China.,Beijing Maternal and Child Health Care Hospital, Beijing, P. R. China
| | - Qingqing Wu
- Ultrasound Department, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, No.251 Yaojiayuan Road, Chaoyang district, Beijing, 100026, P. R. China. .,Beijing Maternal and Child Health Care Hospital, Beijing, P. R. China.
| |
Collapse
|
2
|
Beleza-Meireles A, Steenhaut P, Hocq C, Clapuyt P, Bernard P, Debauche C, Sznajer Y. "Serpentine-like syndrome"-A very rare multiple malformation syndrome characterised by brachioesophagus and vertebral anomalies. Eur J Med Genet 2016; 60:100-104. [PMID: 27836748 DOI: 10.1016/j.ejmg.2016.11.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2016] [Revised: 10/31/2016] [Accepted: 11/06/2016] [Indexed: 11/25/2022]
Abstract
"Serpentine-like syndrome" is a severe and rare association of multiple congenital malformations, characterised by brachioesophagus, secondary intrathoracic stomach, and vertebral anomalies. Other associated anomalies have been described, such as malposition and herniation of abdominal organs. We report the natural history of a baby girl born at 29 weeks of gestation with intra uterine growth restriction, short neck, large rachischisis from cervical to thoracic spine, a very short oesophagus, thoracic stomach associated with a midline diaphragmatic hernia, malrotated gut and median cleft lip. Most of these anomalies were detected antenatally. Molecular karyotype was normal. She died at age 12 days. To our knowledge, the present patient represents the 8th report of a case of "Serpentine-like syndrome". Brachioesophagus and congenital vertebral anomalies, in particular rachischisis, are the cardinal features of this condition. All reported cases have been sporadic and the cause is still unknown. We believe that the specificity of the presentation as well as the similarities between available descriptions of patients suggests a common, yet to identify, molecular cause, possibly involving a developmental "toolkit"/homeobox gene or related pathways.
Collapse
Affiliation(s)
- Ana Beleza-Meireles
- Centre de Génétique Humaine, Cliniques Universitaires St. Luc, U.C.L., Brussels; Department of Clinical Genetics, Guy's Hospital, Great Maze Pond, London, SE1 9RT, UK.
| | | | - Catheline Hocq
- Neonatalogy Unit, Department of Paediatrics, Cliniques Universitaires St. Luc, U.C.L. Brussels
| | - Philippe Clapuyt
- Radiology Department, Cliniques Universitaires St. Luc, U.C.L. Brussels
| | - Pierre Bernard
- Obstetrics Department, Cliniques Universitaires St.Luc, U.C.L. Brussels
| | - Christian Debauche
- Neonatalogy Unit, Department of Paediatrics, Cliniques Universitaires St. Luc, U.C.L. Brussels
| | - Yves Sznajer
- Centre de Génétique Humaine, Cliniques Universitaires St. Luc, U.C.L., Brussels
| |
Collapse
|