1. Choledochal Cyst with 17q12 Chromosomal Duplication.
- Author
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Kotalova R, Dusatkova P, Drabova J, Elblova L, Dedic T, Cinek O, Lebl J, and Pruhova S
- Subjects
- Anastomosis, Roux-en-Y, Chromosomes, Human, Pair 17 genetics, Humans, Infant, Newborn, Jejunum surgery, Liver surgery, Liver Cirrhosis pathology, Male, Choledochal Cyst genetics, Chromosome Duplication, Gene Dosage, Hepatocyte Nuclear Factor 1-beta genetics
- Abstract
The 17q12 chromosomal region carries the HNF1B gene, mutations of which cause various conditions. When searching for HNF1B/17q12 rearrangements among children with biliary atresia and/or choledochal cysts, we identified a male proband carrying a 17q12 duplication spanning 1698âkb that included 24 genes from TBC1D3C to HNF1B. The boy presented with cholestatic jaundice at the age of 2 weeks due to a choledochal cyst sized 15 ×12 mm (type Ia according to the Todani classification). He underwent a shunt surgery consisting of a hepaticojejunostomy using Roux-en-Y loop at the age of 2 months, which led to a permanent relief of cholestasis. Perioperative liver histology revealed significant hepatic fibrosis and bile ductular proliferation. At 17 years, he has a mildly enlarged liver with decreased elasticity, an upper-normal-sized spleen, normal biochemistry values, and no renal or hepatic cysts. We report the first hepatobiliary phenotype in a patient with an HNF1B overdosage., (© 2017 John Wiley & Sons Ltd/University College London.)
- Published
- 2018
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