Symmetrical peripheral gangrene: A rare clinical entity.

Symmetrical peripheral gangrene (SPG) may present initially with septicemia. Prompt identification and management of the underlying cause of SPG is central for the best outcome. Good management incorporates delaying early surgical intervention, suitable antibiotic therapy, judicious debridement, and skin grafting.

Life threatening bilateral renal trauma in a child.

Hematuria in children resulting from trauma should be promptly evaluated. Inappropriate management may result in undesirable consequences. Clinicians should have high index of suspicion for genitourinary injuries in pediatric patients.