Extremity Gangrene in Utero

Abstract

A neonate with extremity gangrene resulting from intrauterine embolization of infarcted placental substances is discussed. This rare clinical entity is thought to be most commonly a manifestation of embolic phenomenon during maturation of the neonatal circulatory system. Management of neonatal gangrene is conservative, delaying amputation as long as possible since the line of demarcation tends to migrate distally. Evidence of multiple emboli should be carefully sought prior to definitive treatment.

Ischaemic Contracture in an Infant’s Forearm – A Case Report

“…Others have reported cases of infantile gangrene or aplasia cutis congenital (Carr et al, 1996;Shaffer et al, 1984). Thus, infantile ischaemic contracture is an extremely rare complication of pregnancy, in which the contracture is usually present at birth and is often associated with complications of the labour (Caouette-Laberge et al, 1992;Gosain et al, 2000;Silfen et al, 2000;Tsur et al, 1980;Tubes et al, 1999).…”

Forearm Compartment Syndrome in the Newborn: Report of 24 Cases

“…1,3,5,6,8,19 This is consistent with the 24 patients reported here and in 16 similar patients described in various case reports and smaller series in the literature. [1][2][3][4][5][6]8,10,20,30 We believe the diagnosis of cutis aplasia is confusing when it is applied to forearm skin lesions and that it is best reserved for the classic scalp involvement. One patient in this series did have a sibling with the diagnosis of cutis aplasia of the scalp.…”

Ischémie in utero du membre supérieur et de l’hémiface droits : à propos d’une observation

“…Le siège des lésions tel que décrit dans notre observation semble être unique car nous n'avons pas retrouvé de cas identique dans la littérature. Le cas rapporté par Carr et al [5] se rapproche néanmoins du nôtre. En effet, il s'agissait d'un prématuré qui présentait à la naissance une gangrène ischémique de la main et de l'avant-bras droit associée à un infarctus de l'hémisphère cérébral droit découvert à l'âge de sept mois.…”