J Korean Orthop Assoc.  2010 Dec;45(6):482-485. 10.4055/jkoa.2010.45.6.482.

Symmetrical Peripheral Gangrene after Pulmonary Hemorrhage

• Oh HC
• Lee JJ
• Moon ES
• Yoon HK

• KMID: 2185496
• DOI: http://doi.org/10.4055/jkoa.2010.45.6.482

Abstract

Symmetrical peripheral gangrene (SPG) is characterized by distal ischemic damage in two or more extremities without a large vessel obstruction. This syndrome is associated with low cardiac output, sepsis, malignancy, disseminated intravascular coagulation (DIC) and the administration of vasoactive drugs. We report a case of SPG in a patient with pulmonary hemorrhage, sepsis and DIC who had been administered dopamine.

Keyword

syndrome of symmetrical peripheral gangrene; low cardiac output; sepsis; disseminated intravascular coagulation; dopamine

MeSH Terms

Cardiac Output, Low
Dacarbazine
Disseminated Intravascular Coagulation
Dopamine
Extremities
Gangrene
Glycosaminoglycans
Hemorrhage
Humans
Sepsis
Dacarbazine
Dopamine
Glycosaminoglycans

Figure

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  Figure 1 Initial computerized tomography shows pulmonary hemorrhage.

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  Figure 2 At three months after admission, the gangrenous lesions involving four limbs were demarcated.

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  Figure 3 (A) After the demarcation of the gangrenous left foot, open amputation was performed at Lisfranc joint level. Vacuum-Assisted Closure dressing material was applied to open wound. (B) In one month after amputation, the patient underwent gracillis free flap to the open lower leg and there was no flap loss after all.

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