Symmetrical peripheral gangrene of all four limbs: An unusual complication of ureteroscopy
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Updated: Jan 28, 2026

High-Resolution Three-Dimensional Imaging of the Footpad Vasculature in a Murine Hindlimb Gangrene Model
Published on: March 16, 2022
Pankaj N Maheshwari1, Nick Okwi1,2, Anant P Pore3
1Department of Urology, 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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