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A Case of a Baby Care-Related Accident: Hair-Thread Tourniquet Syndrome
1 Orthopaedics And Traumatology Clinic, Erzurum Regional Training and Research Hospital, Erzurum, Turkey  
2 Department of Emergency Medicine, Erzurum Regional Training and Research Hospital, Erzurum, Turkey  
JEMCR ; : -
DOI: 10.5152/jemcr.2017.1898
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Key Words: Baby care-related accident, hair-thread tourniquet syndrome, digital ischemia
Abstract

Introduction: We present the case of a 3.5-month-old boy whose right second toe was affected by hair/thread wrapped around it and this situation’s urgency.

 

Case Report: A 3.5-month-old boy was brought by his parents to the emergency clinic. The patient had a swollen, reddish-color right second toe with hyperemia. The parents did not know for how long the toe was affected. When ananmese was deepened, no disorder was learned observing at birth. No other disorder was observed by the parents until they visited the emergency department at noon. No pathology was detected on plain radiographs. By continuing physical examination, a hair-wire wrapping around the toe with linear skin lesion was explored. Lesion was over extensor tendon on the dorsal face and intracutaneous on the plantar face. The wire was meticulously removed, and the dorsal skin lesion was sutured. Proper wound care was performed. On the 10th day, the sutures were removed. No sequelae were observed on follow-up. Based on the attitude of the parents and the cooperation of medical professionals, the case was considered to be a baby care-related accident.

 

Conclusion: Hair-thread tourniquet syndrome of an affected limb part is a life-threatening condition. Because it is rarely observed, its diagnosis can be delayed. However, ischemia of the affected extremity should alert the physician. Whenever the syndrome is diagnosed, proper treatment must be immediately initiated.

 

 

Cite this article as: Uymur EY, Köse A, Topal M, Dinçer R, Güzel MF. A Case of a Baby Care-Related Accident: Hair-Thread Tourniquet Syndrome. J Emerg Med Case Rep 2017; DOI: 10.5152/jemcr.2017.1898

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