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Case Reports
. 2013 Jul 8:2013:bcr2012008399.
doi: 10.1136/bcr-2012-008399.

Severe neonatal complication of transverse lie after preterm premature rupture of membranes

D C M Van der Kaay  1 , S Horsch, J J Duvekot
Affiliations
Case Reports

Severe neonatal complication of transverse lie after preterm premature rupture of membranes

D C M Van der Kaay et al. BMJ Case Rep. .

Abstract

Both transverse lie and preterm premature rupture of membranes (PPROM) are associated with neonatal morbidity and mortality. We present a neonate born at 29 weeks gestation with severe birth trauma after PPROM and transverse lie. The patient had extensive swelling and areas of desquamated and necrotic skin of the right lower limb. Neonatal compartment syndrome (NCS) was suspected. Perfusion of the limb improved after decompressing subcutaneous incisions. A fetus in transverse lie may be mechanically damaged in the case of PPROM, especially at an early gestational age. Early recognition is of great interest in the management and prognosis of NCS.

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Figures

Figure 1
Figure 1
Extensive swelling with areas of desquamated and necrotic skin of the right lower limb immediately after birth.
Figure 2
Figure 2
Extensive swelling decreased after decompressing subcutaneous incisions, and the skin lesions recovered after a couple of days. Note the equinus position of the right foot with plantar flexion of the toes.
See this image and copyright information in PMC

References

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Publication types

Supplementary concepts