Congenital ischemic loss of skin of the lower limb in a neonate: A case report

Alagie Baldeh, Cherno S Jallow, Lamin Makalo, Ousman Cham, Gabriel Ngom.

Pediatric Surgical Senior Resident, Albert Royer National Children’s Hospital Centre

University Cheikh Anta Diop, Dakar, Senegal.

Abstract

Background: Congenital ischemia of the limbs in a neonate is a rare condition seen in clinical practice.

Case Presentation: We report a case of a 16 hours old full term female neonate born via spontaneous vaginal delivery to a 38 years old woman who had four prenatal visits and one ultrasound scan done during the second

trimester of pregnancy which was normal. The diagnosis of congenital ischemia of the left lower limb was made after physical examination. Investigations undertaken were unremarkable.

Discussion: She was managed conservatively until discharge and the outcome were favorable after six months of follow up. Similarly, in the literature, cases of limb ischemia were managed conservatively

Conclusion: Therefore, in the absence of gangrene, cases of limb ischemia should be managed conservatively like in our case.