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Journal of Hand Surgery (British and European Volume)
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Articles

Extremity Gangrene in Utero

M. M. CARR, M. AL-QATTAN and H. M. CLARKE

From the Hospital for Sick Children, Toronto, Canada

Correspondence: M. M. Carr, DDS. MD, Department of Otolarygology, Halifax Infirmary Hospital, 1335 Queen Street, Halifax, Nova Scotia, Canada B3J 2H6.

A neonate with extremity gangrene resulting from intrauterine embolization of infarcted placental substances is discussed. This rare clinical entity is thought to be most commonly a manifestation of embolic phenomenon during maturation of the neonatal circulatory system. Management of neonatal gangrene is conservative, delaying amputation as long as possible since the line of demarcation tends to migrate distally. Evidence of multiple emboli should be carefully sought prior to definitive treatment.

Journal of Hand Surgery (British and European Volume), Vol. 21, No. 5, 652-655 (1996)
DOI: 10.1016/S0266-7681(96)80152-5
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