Hip and Thigh Swelling at Age 20 Days (original) (raw)

NeoReviews, 2015

Abstract

A newborn presents with marked swelling and discoloration around the right hip and thigh (Figure 1). Figure 1. Newborn with marked swelling and discoloration around the right hip and thigh. ### Prenatal and Birth Histories ### Presentation Infant was discharged home and did well during the first week; she was well-appearing and feeding by demand every 3 to 4 hours. On day 8 a health visitor found a significant weight loss of 650 g. The infant was admitted to a local neonatal ward. She was moderately dehydrated with a sodium level of 160 mEq/L (160 mmol/L). There were no other significant clinical or laboratory findings, and the dehydration was thought to be caused by difficulties with breastfeeding. Oral rehydration was performed via nasogastric tube, and the infant was subsequently successfully transitioned to breastfeeding and discharged on day 15. On day 20 the parents noticed swelling and bluish discoloration of the infant’s right thigh, but she remained otherwise well. Four days later she held her leg in a fixed flexed position and she was crying during diaper changes. They consulted their general practitioner, who referred the infant to a neonatal intensive care unit. ### Vital Signs

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