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Indian J Urol. 2019 Jan-Mar;35(1):78-80. doi: 10.4103/iju.IJU_33_18.

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

Author information

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

Abstract

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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