Background
Ergot derivatives are commonly used for the treatment of postpartum as well as postabortal hemorrhage. Peripheral Gangrene is a rare acute complication of administration of ergometrine and its analogue in patients with postpartum or postabortal hemorrahge
Case report
We report a case of 25 years multipara with undiagnosed primary antiphospholipid antibody syndrome, develops fingertip gangrene after the use of Inj Methergine to manage postabortal hemorrage.
Conclusion
Methergine use always needs a word of caution, before its use we have to rule out all the contraindications and assess high risk patients who have high chances of complications.