Left Common Femoral Vein Thrombosis with Lower Limb Gangrene in A Newborn

Abstract

Gangrene in the newborn following deep vein thrombosis is extremely rare and may be congenital and acquired. We report an eleven day term male baby presented in emergency with bluish colouration of left lower limb for two days, which progressed to gangrene on fourth day of admission. The baby was initially treated with low molecular weight heparin followed by warfarin and antimicrobials (cefotaxime and piperacillin). Knee disarticulation was done on the fourth day of admission. On postoperative days, baby was well, and discharged on warfarin therapy. The exact cause for venous thrombosis could not be established. This case is reported because of possible idiopathic gangrene in the newborn with highlights of management.