Gangrene is a type of tissue death caused by a lack of blood supply to parts of the body. While causes of gangrene can be underlying illness, injury, and/or infection, it can also be drug induced. A middle-aged normotensive and nondiabetic female underwent tubal ligation. For undergoing the surgery, she was given cocktail anesthesia of injection pentazocine 30 mg, injection atropine 0.4 mg, and injection promethazine 25 mg, which was administered inadvertently via intra‑arterially in the left hand by a faulty technique, meant to be given by i.v route in the radial artery.

Incidence was followed by pain, swelling, and the start of bluish discoloration of the lateral three fingers of the left hand, two days after the administration. Furthermore, there was a history of fever. On day four, post-tubal ligation examination of the left hand showed : Bluish discoloration of the thumb, index,…