Abstract
Introduction: Congenital limb gangrene is a rare pathology. In the majority of cases, no cause is identified and its treatment is not codified. Observation: 29-week premature newborn, female from poorly followed twin pregnancy. Clinical examination at admission found an unstable neonate, the presence of necrosis of the left hand and forearm well limited, with absent humeral pulse and absence of hand movement. Surgical treatment was scheduled for amputation of the limb after the agreement of the parents whose postoperative follow-ups were simple. Conclusion: Congenital gangrene remains a rare entity in neonatology.
Highlights
Congenital limb gangrene is a rare pathology
Congenital gangrene remains a rare entity in neonatology
Congenital gangrene of the extremities of the newborn is a rare phenomenon in neonatology in many cases; no etiological factors are demonstrated [1] [2]
Summary
Congenital gangrene of the extremities of the newborn is a rare phenomenon in neonatology in many cases; no etiological factors are demonstrated [1] [2]. The cases described focus on the mother-fetal pathologies involved and emphasize urgent surgical treatment in case of proven ischemia of a limb [3]. Any neonatal gangrene suggests intrauterine etiopathogenesis; several risk factors may be related to congenital gangrene. Management is not codified and treatment is based on antibiotic therapy, heparinotherapy and surgical amputation [1] [2] [3] [4] [5].
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