Threatened premature delivery with prolapsed amniotic sac leading to neonatal limb gangrene

Congenital limb gangrene has been reported as secondary to early premature rupture of the membranes, maternal diabetes, abnormal presentation of the f etus in utero, emboli from closure of ductus arteriosus, protein C, S, and antithrombin III deficiency, sepsis, congenital heart disease (1,2), and hy perviscosity of the recipient partner in twin-to-twin transfusion cases (3) . We report a case of threatened premature delivery with a fetus partially prolapsed into the vagina. Conservative management led to intra-uterine low er limb ischemia.