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CASE REPORT
Year : 2021  |  Volume : 9  |  Issue : 2  |  Page : 127-129

Sepsis and anticoagulant, is amputation a lifesaving surgery?


1 Department of Trauma and Emergency, All India Institute of Medical Sciences, Patna, Bihar, India
2 Department of Cardiothoracic Vascular Surgery, All India Institute of Medical Sciences, Patna, Bihar, India
3 Department of Burn and Plastic Surgery, All India Institute of Medical Sciences, Patna, Bihar, India

Correspondence Address:
Dr. Amarjeet Kumar
Room No. 501, PG-1, All India Institute of Medical Sciences Campus, Patna, Bihar
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/AJIM.AJIM_12_20

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Patients with severe sepsis are associated with coagulation abnormalities ranging from minimal to major activation of coagulation system, which may lead to fulminant disseminated intravascular coagulation (DIC) and multiorgan failure. Lower extremity amputation is indicated to remove ischemic, infected, or necrotic tissue or locally unresectable tumor and, at times, may be lifesaving. Peripheral artery disease and diabetes are the leading causes of non-traumatic lower extremity amputation. Amputation of lower limb in patient of severe sepsis associated with coagulation abnormalities may be limb saving surgery but may not be lifesaving surgery as in our case patient died due to multiorgan failure.


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