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IMAGES IN CLINICAL NEONATOLOGY
Year : 2013  |  Volume : 2  |  Issue : 3  |  Page : 149-150

Consumed ischemia of lower limbs in the newborn: A case report


Department of Vascular Surgery, CHU Hassan II, FES, Morocco

Date of Web Publication18-Oct-2013

Correspondence Address:
Jiber Hamid
Service de Chirurgie Vasculaire, CHU Hassan II, FES
Morocco
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2249-4847.120011

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  Abstract 

The limb ischemia is a rare phenomenon in the newborn. It is most often a postnatal ischemia secondary to arterial or venous catheterization, to neonatal infection. Maternal diabetes is most often implicated. The diagnosis implies an urgent situation which may result in extremity gangrene and ultimate loss of limb.

Keywords: Ischemia, limb, neonatal


How to cite this article:
Hamid J, Rita H, Youssef Z, Abdellatif B. Consumed ischemia of lower limbs in the newborn: A case report. J Clin Neonatol 2013;2:149-50

How to cite this URL:
Hamid J, Rita H, Youssef Z, Abdellatif B. Consumed ischemia of lower limbs in the newborn: A case report. J Clin Neonatol [serial online] 2013 [cited 2020 Jul 3];2:149-50. Available from: http://www.jcnonweb.com/text.asp?2013/2/3/149/120011

The limb ischemia is a rare phenomenon in the newborn. The first description is attributed to Martini cited in the literature by Blank et al.,[1] and since then more than one hundred cases have been reported. [1]

We report a case of ischemia consumed of right lower limb in a premature newborn [Figure1], appeared at J+3 after a vaginal delivery at home. The mother, 40-year-old, is not diabetic, with no concept of taking drugs or toxic plants during pregnancy.
Figure 1:

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It is most often a postnatal ischemia secondary to arterial or venous catheterization, to neonatal infection, to a hypercoagulability or to dehydration. [1],[2]

There are many contributing factors like malformation, infectious, metabolic or obstetric etiology. [1] Maternal diabetes is most often implicated. [3] The common element in all these causative factors is arterial insufficiency leading to limb ischemia. This deficiency is the result of either intrauterine compression or arterial thrombosis. [3]

This clinical picture must be differentiated from ischemia in utero that occurs before birth, only 20 cases have been reported in the literature. [1],[3]

 
  References Top

1.Blank JE, Dormans JP, Davidson RS. Perinatal limb ischemia: Orthopaedic implications. J Pediatr Orthop 1996; 16:90-6.  Back to cited text no. 1
    
2.Coombs CJ, Richardson PW, Dowling GJ, Johnstone BR, Monagle P. Brachial artery thrombosis in infants: an algorithm for limb salvage. Plast Reconstr Surg 2006; 117:1481-8.  Back to cited text no. 2
    
3.Nagai MK, Littleton AG, Gabos PG. Intrauterine gangrene of the lower extremity in the newborn a report of two cases. J Pediatr Orthop 2007; 27:499-503.  Back to cited text no. 3
    


    Figures

  [Figure1]



 

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