Auto-amputation of an Entire Foot with Ankle in a Diabetic Patient


A 62-year-old male came to emergency department (ED) with a complaint of “separation of foot” during sleep at night. He noticed he lost his foot while getting up from bed to go to toilet at midnight. Upon arrival in ED, his blood pressure was 218/96 mmHg and random blood sugar 556mg/dl. The patient had large ketone bodies in urine. He was a known case of diabetes and hypertension for many years. He was on homeopathic medications for his diabetes, hypertension and diabetic foot. He refused any form of invasive treatment and hospitalization. The patient was adamant on not getting admitted and wanted to continue his homeopathic medications as before. He only wanted his leg stump covered with a dressing after which he was discharged.

1. Finkelstein B, Kamble R, Ferdinando E, Mobarakai N. Autoamputation of the foot caused by untreated gas gangrene: a case report. J Foot Ankle Surg. 2003;42(6):366-70.
2. Kaushik R, Sree BS, Attri AK. Spontaneous auto-amputation of the foot in a case of diabetes, atherosclerosis and gangrene. J Indian Med Assoc. 2002;100(9):573-4.
3. Al Wahbi A. Autoamputation of diabetic toe with dry gangrene: a myth or a fact? Diabetes Metab Syndr Obes. 2018; 11:255–64.
4. Calderini C, Cioni F, Haddoub S, Maccanelli F, Magotti MG, Tardio S. Therapeutic approach to "diabetic foot" complications. Acta Biomed. 2014;85(3):189-204.
IssueVol 3 No 4 (2019): Autumn (October) QRcode
SectionCase based learning points
Diabetic Foot

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Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
Mani U, Ansari D, Bhot F, Sada E, Ursekar R. Auto-amputation of an Entire Foot with Ankle in a Diabetic Patient. Front Emerg Med. 2019;3(4):e47.


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