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  • Imaging Case Report
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Absent left common and left external iliac artery presenting in a neonate

Journal of Perinatology volume 33, pages 407–409 (2013)Cite this article

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A boy was born at 39 weeks gestation with a birth weight of 2690 g to a 22-year-old G1P0 mother. All prenatal laboratory screens were unremarkable except the screening glucose test, which was abnormal but no subsequent 3-h glucose tolerance test was done. The mother smoked one-half pack cigarettes daily during the entire pregnancy, denied drug or ethanol use and took only prenatal vitamins. Two prenatal ultrasounds (at 6 and 18 weeks gestation) were normal. The infant was delivered vaginally with Apgar scores of 8 (1 min) and 9 (5 min). Mild tachypnea and hypoglycemia developed within 10 h after birth. A sepsis workup was negative and euglycemia was achieved with intravenous glucose and gavage feedings. The hypoglycemia was likely the result of transient hyperinsulinemia (level=3.4 μIU/ml); no additional sequelae was noted in the infant secondary to maternal hyperglycemia.

On initial physical examination, the left lower extremity (LLE) was mildly dusky in appearance with a feeble left femoral pulse. A pulse oximetry reading could not be obtained in the LLE, but was normal in the other extremities. The LLE was cool to touch, the capillary refill was delayed (>3 s) and blood pressure could not be obtained; blood pressure was normal in the other extremities. No abdominal bruit or heart murmur was appreciated. The circumference and length were equal in the lower extremities. No distress was noted and there was full range of motion with active and passive movements of both lower extremities. The infant had no obvious dysmorphic features. The umbilicus contained three vessels.

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Acknowledgements

We thank Dr G Aben, Associate Professor, Department of Radiology, Michigan State University, for his critical review of the imaging studies.

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Authors and Affiliations

  1. Sparrow Health System and Michigan State University Pediatric Residency Program, Lansing, MI, USA

    M Patel & S Chonat

  2. Division of Neonatology, Department of Pediatrics and Human Development, Michigan State University, East Lansing, MI, USA

    I Olomu & M Kadrofske

  3. Department of Radiology, Michigan State University, East Lansing, MI, USA

    S Arrington

Authors
  1. M Patel
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  2. S Chonat
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  3. I Olomu
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  4. S Arrington
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  5. M Kadrofske
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Corresponding author

Correspondence to M Kadrofske.

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The authors declare no conflict of interest.

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Supplementary Information accompanies the paper on the Journal of Perinatology website

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Patel, M., Chonat, S., Olomu, I. et al. Absent left common and left external iliac artery presenting in a neonate. J Perinatol 33, 407–409 (2013). https://doi.org/10.1038/jp.2012.132

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  • DOI: https://doi.org/10.1038/jp.2012.132

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