Saudi Journal of Emergency Medicine

Case Report
SJEMed. 2020; 1(2): 121-123

Irritable Infant: A Rare and Easy to Miss Case for Strangulated Toe

Authors: Amani Azizalrahman, Shabeer Ahmad Wani, Osama Mohammed Alnasser.

View PDF HTML Fulltext DOI: 10.24911/SJEMed/72-1573244443

Abstract

Background: Hair-thread tourniquet syndrome (HTTS) is a rare condition and it refers to the strangulation of a distal appendage by thread or hair, leading to impairment of blood flow and ischemia which if left untreated becomes a surgical emergency. It is usually misdiagnosed due to its infrequent presentation in a hidden part of the body. Case Presentation: A-3-months-old-female infant presented to a governmental institute with a history of irritability, restlessness, and continuous crying without an obvious cause. The diagnosis of HTTS was made as the third digit of the left foot was swollen and red. A surgical incision was made, and hair tourniquet was removed. The follow-up had satisfactory results. Conclusion: HTTS is a rare condition and it is vital to recognize it and provide immediate treatment. Delay of treating this medical issue can lead to strangulation of a distal appendage which may lead to impairments of blood flow and ischemia.

Keywords:   Hair thread tourniquet syndrome, HTTS, hair tourniquet management, hair tourniquet removal, irritable infant, restless infant.


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Irritable Infant: A Rare and Easy to Miss Case for Strangulated Toe


Authors
Amani Azizalrahman
Pediatric Emergency Consultant and Simulation Educator, King Fahad Medical City, Ministry of Health, Riyadh, Saudi Arabia
PubMed articlesGoogle scholar articles

Shabeer Ahmad Wani
Plastic Surgeon Assistant Consultant, King Fahad Medical City, Ministry of Health, Riyadh, Saudi Arabia
PubMed articlesGoogle scholar articles

Osama Mohammed Alnasser
Pediatric Emergency Consultant, King Fahad Medical City, Ministry of Health, Riyadh, Saudi Arabia
PubMed articlesGoogle scholar articles


Correspondence to:
. Osama Mohammed Alnasser, Pediatric Emergency Consultant, King Fahad Medical City, Ministry of Health, Riyadh, Saudi Arabia.; osamah5184@gmail.com

Publication history
Received 08 Nov 2019
Accepted 20 Apr 2020
Published online 23 Jun 2020
Published in print 10 Jul 2020

How to cite this article

Pubmed Style

Azizalrahman A, Wani SA, Alnasser OM. Irritable Infant: A Rare and Easy to Miss Case for Strangulated Toe. SJEMed. 2020; 1(2): 121-123. doi:10.24911/SJEMed/72-1573244443


Web Style

Azizalrahman A, Wani SA, Alnasser OM. Irritable Infant: A Rare and Easy to Miss Case for Strangulated Toe. http://www.sjemed.com/?mno=72978 [Access: August 05, 2020]. doi:10.24911/SJEMed/72-1573244443


AMA (American Medical Association) Style

Azizalrahman A, Wani SA, Alnasser OM. Irritable Infant: A Rare and Easy to Miss Case for Strangulated Toe. SJEMed. 2020; 1(2): 121-123. doi:10.24911/SJEMed/72-1573244443


Vancouver/ICMJE Style

Azizalrahman A, Wani SA, Alnasser OM. Irritable Infant: A Rare and Easy to Miss Case for Strangulated Toe. SJEMed. (2020), [cited August 05, 2020]; 1(2): 121-123. doi:10.24911/SJEMed/72-1573244443


Harvard Style

Azizalrahman, A., Wani, . S. A. & Alnasser, . O. M. (2020) Irritable Infant: A Rare and Easy to Miss Case for Strangulated Toe. SJEMed, 1 (2), 121-123. doi:10.24911/SJEMed/72-1573244443


Turabian Style

Azizalrahman, Amani, Shabeer Ahmad Wani, and Osama Mohammed Alnasser. 2020. Irritable Infant: A Rare and Easy to Miss Case for Strangulated Toe. Saudi Journal of Emergency Medicine, 1 (2), 121-123. doi:10.24911/SJEMed/72-1573244443


Chicago Style

Azizalrahman, Amani, Shabeer Ahmad Wani, and Osama Mohammed Alnasser. "Irritable Infant: A Rare and Easy to Miss Case for Strangulated Toe." Saudi Journal of Emergency Medicine 1 (2020), 121-123. doi:10.24911/SJEMed/72-1573244443


MLA (The Modern Language Association) Style

Azizalrahman, Amani, Shabeer Ahmad Wani, and Osama Mohammed Alnasser. "Irritable Infant: A Rare and Easy to Miss Case for Strangulated Toe." Saudi Journal of Emergency Medicine 1.2 (2020), 121-123. Print. doi:10.24911/SJEMed/72-1573244443


APA (American Psychological Association) Style

Azizalrahman, A., Wani, . S. A. & Alnasser, . O. M. (2020) Irritable Infant: A Rare and Easy to Miss Case for Strangulated Toe. Saudi Journal of Emergency Medicine, 1 (2), 121-123. doi:10.24911/SJEMed/72-1573244443


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