Thrombosis of the abdominal aorta in newborn: About two cases

Imad, N., El Idrissi Slitine, N., Alaoui, S., Zalle, I., Boumzebra, D., Bennaoui, F., Maoulainine, F.M.R. | JNPM 2022;

Abstract: BACKGROUND:Aortic thrombosis in neonates is a rare phenomenon, and in most cases iatrogenic. An early recognition of the clinical features and an immediate intervention can offer a better prognosis, and thus preventing morbidity such as limb amputation, and even mortality. METHODS:We present two cases of full-term newborns with a thrombosis of the abdominal aorta hospitalized in the neonatal intensive care unit of Mohammed VI University Hospital in Marrakech in 2017 and 2019. RESULTS:The two patients presented swelling and cyanotic lower limbs. Doppler ultrasound revealed a pathological lower limb blood flow as a result of a thrombosis of the abdominal aorta. Both patients underwent an anticoagulant therapy, the first one benefited from a surgical thrombectomy, he developed a reperfusion syndrome with alveolar hemorrhage, and passed away as a result of a cardiorespiratory arrest. However the second patient got amputated of the right foot, his clinical evolution was favorable with a good healing of the surgical wound without recurrence of any thrombosis. CONCLUSION:Through those cases clinicians should be aware of the first clinical signs of this condition in order to offer a rapid and successful management.

*Corresponding Author: 

Najwa Imad, Neonatal Intensive Care Unit, Mother and Child Hospital, Mohammed VI University Hospital, Marrakech 40000, Morocco. Tel.: +212 639166935; E-mail: