Infarction of the upper limbs associated with oligohydramnios and intrauterine compression.
We describe a case of neonatal infarction involving both upper extremities. Oligohydramnios, resulting in compression of both arms within the uterus, is proposed as the cause of this congenital gangrene. Despite attempted conservative management, both arms became flaccid and moist. By the third day of life, the infant's worsening cardiovascular status necessitated amputation. This rare disorder has varying degrees of presentation. Limbs have been salvaged with conservative management of the extremity, coupled with appropriate surgical intervention, and neonatal intensive care.
Johnson
D
D
Division of Plastic and Reconstructive Surgery, Stanford University Medical Center, Calif. 94305.
Rosen
J M
JM
Khoury
M
M
Stevenson
D
D
D000328:Adult; D000653:Amniotic Fluid; D000671:Amputation, Surgical; D001132:Arm / Q000098:blood supply* / Q000601:surgery; D005260:Female; D005734:Gangrene / Q000151:congenital / Q000209:etiology / Q000601:surgery; D006801:Humans; D007238:Infarction / Q000151:congenital* / Q000209:etiology / Q000601:surgery; D011247:Pregnancy; D011312:Pressure; D014599:Uterus