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Case Reports in Pediatrics
Volume 2011, Article ID 363517, 4 pages
http://dx.doi.org/10.1155/2011/363517
Case Report

Intrauterine Extremity Gangrene and Cerebral Infarction at Term: A Case Report

1Department of Gynecology and Obstetrics, Odense University Hospital, 5000 Odense, Denmark
2Department of Clinical Biochemistry and Pharmacology, Odense University Hospital, 5000 Odense, Denmark
3Hans Christian Andersen Children's Hospital, Odense University Hospital, 5000 Odense, Denmark

Received 3 November 2011; Accepted 29 November 2011

Academic Editors: R. Lauterbach and B. Resch

Copyright © 2011 M. Tanvig et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Intrauterine extremity gangrene in combination with cerebral infarction is a serious and rare event. We present a case with a healthy mother who gave birth to a child with this condition. At term, the mother presented at the antenatal clinic with decreased fetal movements. Cardiotocography (CTG) showed signs of fetal distress and a caesarean section was performed. The left arm of the newborn was found gangrenous. Amputation of the arm was necessary and the child was subsequently treated with anticoagulant therapy due to thrombosis and cerebral infarction in the left hemisphere found by magnetic resonance imaging (MRI). At one year of age the boy was doing well and had prosthesis as a left arm. He had no signs of further complications. Despite thorough examination of the parents and the child, the reason for the thrombosis is still unknown.