A case report of symmetric peripheral gangrene caused by urosepsis related to urinary stones

VernacularTitle:结石相关尿源性脓毒血症致对称性外周坏疽1例报告
Author: Hailang LIU ¹ ; Wei XIANG ¹ ; Wei WU ¹ ; Jingdong YUAN ¹ ; Chuanhua ZHANG ¹ ; Lei LYU ¹
Author Information

1. 武汉市第一医院泌尿外科，武汉　430030
Publication Type:Journal Article
Keywords: Ureteral calculi; Urosepsis; Symmetric peripheral gangrene
From: Chinese Journal of Urology 2025;46(1):62-64
CountryChina
Language:Chinese
Abstract: Symmetric peripheral gangrene (SPG) is a rare and disabling severe complication, often associated with critical conditions like septic shock. However, the occurrence of SPG in the context of stone-related urosepsis is extremely uncommon. This article reports a patient who developed SPG as a complication of urosepsis induced by urinary stone. The patient was admitted with sepsis secondary to a right ureteral stone, and the condition rapidly progressed to septic shock. After receiving anti-shock treatment and relief of the ureteral obstruction, the patient developed ischemic signs in the extremities. Despite appropriate treatment, the patient's fingers returned to normal, while both toes progressed to SPG. After two months, both feet remained swollen, with necrosis and detachment of the right toes. The patient also experienced a loss of pain, temperature, and tactile sensation, along with marked limitations in both flexion and extension of the right toes.