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Lower-Limb Ischemia at Birth Because of Spontaneous Arterial Thrombosis: A Case Report
Sandeep V Vaidya1, Deepika A Pinto, Rujuta Mehta
1Department of Pediatric Orthopaedics, Bai Jerbai Wadia Hospital for Children, Mumbai, India.
Case:
A full-term neonate presented with right lower extremity ischemia at birth because of spontaneous thrombosis of the right common iliac artery. He was initially managed with supportive treatment, anticoagulation, and dressings; however, advanced gangrenous changes precluded salvage of the ischemic limb. A guillotine amputation was performed at day 15 of life, and the stump went on to heal well by secondary intention.
Conclusion:
Thromboembolic events occurring in infancy are well-recognized phenomena; however, it is far rarer to encounter a neonate born with "congenital gangrene". We discuss the etiology, approach to diagnosis, and treatment of this rare but devastating condition.
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