Author/Authors :
Sharma, Lipi Department of Obstetrics and Gynecology - University College of Medical Sciences and Associated Guru Teg Bahadur Hospital, Shadara, India , Mehta, Sumita Department of Obstetrics and Gynecology - University College of Medical Sciences and Associated Guru Teg Bahadur Hospital, Shadara, India , Rajaram, Shalini Department of Obstetrics and Gynecology - University College of Medical Sciences and Associated Guru Teg Bahadur Hospital, Shadara, India , Aggarwal, Rachna Department of Obstetrics and Gynecology - University College of Medical Sciences and Associated Guru Teg Bahadur Hospital, Shadara, India , Gupta, Sanjay Department of Surgery - University College of Medical Sciences and Associated Guru Teg Bahadur Hospital, Shadara, India , Goel, Neerja Department of Obstetrics and Gynecology - University College of Medical Sciences and Associated Guru Teg Bahadur Hospital, Shadara, India
Abstract :
Background: Symmetrical peripheral gangrene is usually associated with underlying
medical problems and it is seldom seen in pregnancy. Sepsis though common in
a setting of delivery by unskilled midwife is rarely accompanied by symmetrical
gangrene.
Case Presentation: We report a case of symmetrical peripheral gangrene which
occurred in the winter, triggered possibly by sepsis and a single dose of ergot. A high
index of suspicion, early diagnosis and intervention with appropriate measures will
result in favorable outcome in such cases.
Conclusion: Although postpartum period is of high risk for sepsis and use of ergot
alkaloids is common in labor but occurrence of peripheral symmetrical gangrene is
rare. A high index of suspicion for the diagnosis and timely intervention will prevent
irreparable damage and loss of limb.
