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Four Limb Amputation Secondary to Symmetrical Peripheral Gangrene in a Polytrauma Patient: A Case Report

Version 2 2023-11-27, 11:11
Version 1 2023-06-14, 11:10
journal contribution
revised on 2023-11-27, 11:10 and posted on 2023-11-27, 11:11 authored by Yahya Alborno, Isam Sami Moghamis, Hammam Kayali, Elhadi Babikir, Shamsi Hameed, Mohamed Al-Ateeq Al-Dosari

Symmetrical peripheral gangrene (SPG) is a rare condition. At present, there is no clear etiology for this condition; however, it has been associated with multiple risk factors, including sepsis and coagulopathy. We present a patient who sustained a polytrauma with multiple organ injuries. During hospitalization, he developed septic and cardiogenic shock complications by disseminated intravascular coagulopathy, which led to ischemic changes in all four limbs. The patient underwent bilateral – trans-tibial and trans-radial – amputation. High level of suspicion and awareness are required to detect such a devastating condition in order to mitigate complications. We conclude that ischemic changes secondary to SPG are irreversible; subsequently, halting the disease progression is the mainstay of treatment.

Other Information

Published in: Orthopedic Research
License: https://creativecommons.org/licenses/by-nc/4.0/
See article on publisher's website: http://dx.doi.org/10.1159/000528255

Funding

Open Access funding provided by the Qatar National Library.

History

Language

  • English

Publisher

Karger

Publication Year

  • 2023

License statement

This Item is licensed under the Creative Commons Attribution-NonCommercial 4.0 International License.

Institution affiliated with

  • Hamad Medical Corporation

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    Hamad Medical Corporation

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