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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.

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


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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