What is the commonest aneuploidy seen in neonates born with single umbilical aery?
**Core Concept**
The question revolves around the association between single umbilical artery (SUA) and aneuploidy in neonates. Aneuploidy refers to the presence of an abnormal number of chromosomes in an individual's cells, which can lead to various congenital anomalies and developmental issues.
**Why the Correct Answer is Right**
The presence of a single umbilical artery is often associated with an increased risk of aneuploidy, particularly Turner syndrome (45,X). This is because the absence of one umbilical artery is thought to be a marker of underlying embryonic developmental abnormalities. Turner syndrome is a genetic disorder characterized by the complete or partial absence of one X chromosome, leading to a range of physical and developmental features.
**Why Each Wrong Option is Incorrect**
* **Option A:** Trisomy 21 is a common aneuploidy, but it is not specifically associated with single umbilical artery. Trisomy 21 is characterized by an extra copy of chromosome 21.
* **Option B:** Trisomy 18 is another aneuploidy, but it is not the most common one associated with single umbilical artery. Trisomy 18 is characterized by an extra copy of chromosome 18.
* **Option D:** Trisomy 13 is a rare aneuploidy, and it is not specifically associated with single umbilical artery. Trisomy 13 is characterized by an extra copy of chromosome 13.
**Clinical Pearl / High-Yield Fact**
Neonates born with single umbilical artery have an increased risk of aneuploidy, particularly Turner syndrome. A high index of suspicion should be maintained in these cases, and chromosomal analysis should be considered to rule out underlying genetic abnormalities.
**Correct Answer:** C.