title: Acquired constriction ring syndrome as a cause of inconsolable cry in a child: a case report.
abstract: Acute constriction ring syndrome (ACRS) is a rare clinical condition characterized by formation of a circumferential constriction ring around an appendage or genitalia. Cases are mostly reported in infants and young children. Early recognition and a definitive treatment are of paramount importance in order to avoid irreversible ischemia and possible auto-amputation. We describe a case of a 14-month-old child presented to casualty with a history of refusal to feed and inconsolable cry. Parents noticed a recent swelling of left third toe. On careful examination the child was found to have an acquired constriction ring secondary to a tightly wrapped hair around left third toe. An urgent surgical decompression was done by the orthopaedic team with complete resolution of symptoms. We summarized the pathophysiology of ACRS underlining the need of awareness in treating physicians. The possible medico legal implications should be kept in mind bearing a suggested link with non-accidental injury.
authors.affiliation: Registrar Trauma & Orthopaedics Surgery, Luton and Dunstable Hospital NHS, Foundation Trust, Lewsey Road, Luton, LU4 0DZ, UK. we.publish@googlemail.com.
authors.forename: Vinay
authors.initials: V
authors.lastname: Singh
authors.forename: Pankaj
authors.initials: P
authors.lastname: Singh
authors.forename: Amit
authors.initials: A
authors.lastname: Sharma
authors.forename: Jay
authors.initials: J
authors.lastname: Sarkar