%0 Journal Article %T Silver-Russell syndrome-like features in a child with recombinant chromosome 11 derived from maternal pericentric inversion. %A Urzua A %A Catena S %A Morales P %A Lay-Son G %J Clin Dysmorphol %V 33 %N 3 %D 2024 Jul 1 %M 38818816 %F 0.884 %R 10.1097/MCD.0000000000000483 %X Silver-Russell syndrome (SRS) is a well-known syndrome but with heterogeneous etiologies. We present the case of a child with severe SRS-like features resulting from a complex rearrangement of chromosome 11 inherited from his mother. We studied the index case with karyotyping, MS-MLPA and molecular karyotyping. The mother was studied with karyotyping and subtelomeric FISH. We found a child with marked developmental delay and fatal outcome due to failure to thrive, carrying an 11p15 duplication and an 11q25 deletion of maternal origin. We discovered that the mother was a carrier of a pericentric inversion of chromosome 11, with a history of recurrence in other family members who had severe growth retardation and early death. To our knowledge, no similar SRS-like cases have been described in the literature. This report supports the importance of identification the causative genetic mechanism in SRS-like individuals with duplication in 11p15 region due to high risk of recurrence and to provide an appropriate genetic counseling to the family.