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Intranatal Torsion of Polydactyly: A Rare Event.
Priyanka Gupta1, Sujoy Neogi1, Amlin Shukla1
1a Hamdard Institute of Medical Sciences and Research , New Delhi , India.
Fetal and Pediatric Pathology
|February 2, 2016
Summary
Intranatal torsion of pedunculated polydactyly, a rare birth complication, can cause gangrene at birth. This case highlights the risks of intranatal torsion in polydactyly management.
Area of Science:
- Medical Genetics
- Pediatric Surgery
- Congenital Anomalies
Background:
- Polydactyly, a common limb anomaly, presents challenges in management, particularly pedunculated types.
- Postnatal torsion is a recognized complication, but intranatal torsion is rarely documented.
Observation:
- A case of pedunculated ulnar polydactyly is presented.
- The polydactyly was observed to be gangrenous at birth, indicating intranatal torsion.
Findings:
- Intranatal torsion of pedunculated ulnar polydactyly can lead to fetal complications like gangrene.
- This underscores the potential for acute, intra-uterine events in limb malformations.
Implications:
- Highlights the need for considering intranatal complications in diagnosing and managing polydactyly.
- Discusses controversies in managing narrow-pedicled polydactyly, questioning traditional suture ligation methods.
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