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Case Reports in Vascular Medicine
Volume 2012 (2012), Article ID 750953, 3 pages
http://dx.doi.org/10.1155/2012/750953
Case Report

A Unique Case of Unilateral Lower Extremity Sparing Systemic Peripheral Gangrene

1Department of Surgery, Easton Hospital, Drexel University College of Medicine, Easton, PA 18042, USA
2Drexel University College of Medicine, Philadelphia, PA 19129, USA

Received 8 November 2012; Accepted 28 November 2012

Academic Editors: N. Espinola-Zavaleta, L. Masotti, and N. Papanas

Copyright © 2012 Alexey Markelov et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We present here the case of a 70-year-old female who developed a systemic peripheral gangrene in both of her upper extremities (all fingers) and her right foot due to a severe septic shock requiring a systemic vasopressor therapy. Interestingly, the patient’s left foot remained spared from gangrenous changes possibly due to a chronic external iliac artery occlusion and thus the lower concentration of vasopressors in that extremity.