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Paper Title

Finger tourniquet syndrome in a 7-day-old neonate: A stitch in time saves nine

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Registration ID: IJNRD_205943

Published ID: IJNRD2309357

: http://doi.one/10.1729/Journal.36294

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Keywords

Tourniquet syndrome, Strangulation, Gangrene, Amputation

Abstract

Introduction Finger-tourniquet syndrome, also called hair-thread tourniquet syndrome (HTTS), is a rare condition caused by hair or fibre wrapped around digits (fingers and toes), penis, or even clitoris[1]. It usually affects infants and children. This results in pain and swelling of the affected part. Complications can include tissue death due to lack of blood flow. It occurs most commonly among children around 4 months of age, though cases have been described in older children and adults. We describe a case of a 7-day-old neonate who had finger-tourniquet syndrome and was managed conservatively. Case report A 7-day-old baby boy presented with crying excessively for no apparent reason. On examination, a deep circumferential groove was noted over the middle finger of the right hand. The affected finger was red and swollen with a thread just visible in the groove. There was no recent infection, no known congenital malformation, fever, or trauma. Neither the history of the newborn nor of the parents was significant; there was no history of peripheral gangrene in the family. The case was initially seen by a paediatrician followed by a surgical referral. After counselling the family, the patient was shifted to the emergency room, and the thread was safely removed. Post-procedure, the capillary refill was noted to be normal indicating adequate perfusion. Message Toe-tourniquet syndrome is a rare entity and the diagnosis is clinical. It should be one of the differential diagnoses of acute swollen toes in young children. Careful examination of digits for strangulation in an irritable child with digit swelling is a crucial step. Adequate and prompt treatment gives good outcomes without the need for amputation.

How To Cite (APA)

Dr. Atiullah Khan, Dr. Pradeep Kumar Ranabijuli , Dr. Nazparveen, Dr. Rakesh Agarwal , & Dr. Ayesha Mahmood Khan (September-2023). Finger tourniquet syndrome in a 7-day-old neonate: A stitch in time saves nine. INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT, 8(9), d457-d458. http://doi.one/10.1729/Journal.36294

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Paper Reg. ID: IJNRD_205943

Published Paper Id: IJNRD2309357

Research Area: Medical Science

Author Type: Indian Author

Country: Mumbai, MAHARASHTRA, India

Published Paper PDF: https://ijnrd.org/papers/IJNRD2309357.pdf

Published Paper URL: https://ijnrd.org/viewpaperforall?paper=IJNRD2309357

Crossref DOI: http://doi.one/10.1729/Journal.36294

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