دکتر سید رضا صمصام شریعت

متخصص آسیب شناسی تشریحی و بالینی


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پذیرش اتوپسی جنین و نوزا

Fraser syndrome

Autopsy Report
No: 3119

Dr. Seyed Reza Samsamshariat
Pathologist
Medical Board Registration No: 32482

www.drsamsampathology.ir
....................


###### Patient: Fetus
Father

Age/Sex: 23 weeks/Male
Gynecologist: ####i
Date of death: Induced abortion in 5Apr2o11

Propounded Cause for death: Renal Agenesis

Date of Autopsy: 6Apr2011 Autopsy No: 3119

Clinical information
The cadaver belongs to a 23 weeks old male fetus who had a 25 years old mother a 33 years old fatherthat were consanguineous. This was the 2nd pregnancy of this mother in which she had no illness, hypertention, diabetes or UTI.In the sonographic studies bilateral renal agenesis was diagnosed for the fetus and they decided to induce the abortion.pThe first conception of these parents had led to abortion too and its diagnosis was hydropse fetalis.d

Gross Examination of the Body:l
The body is a male with a crown-heel height of 23 cm and a crown-rump height of 14cm. The lower limb was 9 cm and head circumference 18 cm. There is not any bruise or maceration. A mild cyanosis is seen and there is not any edema. A large ecchymosis is in the lower back and posterior of the rushes (Fig 1) . It has eyelid fusion (Fig 2) and ears are in low set position. Microstomia is seen. The nose is small and the philtrum is long (Fig 3) There is syndactyly (Fig2) . The palmar lines do not match with down syndrome. The posterior part of the trunk is normal in shape. The genital is male type and testicles are not in the scrotum. The umbilical cord is 38 cm in long and 0.8 cm in diameter. There are 3 vessels in its cut surface.c

The Examination of Dissected Body:x
The thoracic wall is normal. There"s not emphysema in it. The diaphragm is felt in the right and left. There is not any pneumothorax or hydrothorax. Thymus is not atrophic and does not have any

hemorrhage or emphysema. It is 1*1*0.7 cm. Pericardium is normal. The heart is cone shaped and is 2*1.4*1 cm. The oval foramen is open. The esophagus is normal and there is not any fistula or atresia in it. There is no mecunium plucking in the bronchus. Each lung is 3*2.5*1.2 cm. They are airless and hyperemic. In the lower lobes they have hemorrhage (Fig 4 ). The abdominal cavity does not have any ascites. The intestinal rotation is normal and colon diameter is 0.5 cm. Stomach is 1.8*1.2*0.8 cm. The liver is soft and autolytic. It is 5*2.5*2 cm. Spleen is 1.6*1*0.8 cm with a normal shape. The kidneys and ureters show agenesis (Fig 5). Bladder is absent. The Adrenals are discoid shape and each one is 2*1.6*0.5 cm. Penis is 1 cm in long and has ecchymosis.b

Miroscopic Examination:t
In the microscopic examination of the samples obtained from different organs all of the tissues show autolysis.y

Dx; Fraser Syndrome

( This syndrome is an autosomal recessive genetic disorder which has 2 types as below:o


RAS1 : 4q21
&
FREM2 : 13q13.3 )

Pathologist
Dr. Seyed Reza Samsam Shariat

Address: Dr.Samsam Shariat Laboratory , Abazar St. Khorasgan, Esfahan, IRAN.

Telephone: +983115228677

E-mail:info@drsamsampathology.ir


آدرس مطب : اصفهان- خوراسگان- خیابان اباذر- کوچه سعدی - آزمایشگاه دکتر صمصام شریعت
تلفن : 35228677 - 031

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