Indian Journal of Urology (Jan 2019)

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

  • Pankaj N Maheshwari,
  • Nick Okwi,
  • Anant P Pore

DOI
https://doi.org/10.4103/iju.IJU_33_18
Journal volume & issue
Vol. 35, no. 1
pp. 78 – 80

Abstract

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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.