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CASE REPORT
Year : 2019  |  Volume : 35  |  Issue : 1  |  Page : 78-80

Symmetrical peripheral gangrene of all four limbs: An unusual complication of ureteroscopy


1 Department of Urology, Fortis Hospital Mulund, Mumbai, Maharashtra, India
2 Department of Urology, Fortis Hospital Mulund, Mumbai, Maharashtra, India; Department of Surgery, Busitema University of Health Sciences, Mbale, Uganda
3 Department of Intensive Care, Fortis Hospital Mulund, Mumbai, Maharashtra, India

Correspondence Address:
Pankaj N Maheshwari
Department of Urology, Fortis Hospital Mulund, Mumbai, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/iju.IJU_33_18

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Ureteroscopy (URS) is a commonly performed and a safe urological intervention. However, potentially serious infective complications are possible after URS. A young nondiabetic woman developed severe Gram-negative septicemia after ureteroscopy for a lower ureteric calculus. The sepsis progressed to symmetrical peripheral gangrene of all the four limbs. She required left below-elbow amputation, right below-knee amputation, and loss of all toes and digits of the other two limbs.


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