1887
  1. الرئيسية
  2. A-Z Publications
  3. Qatar Medical Journal
  4. المجلد 2015, العدد 1
  5. المقالة
Volume 2015, Issue 1
  • ISSN: 0253-8253
  • E-ISSN: 2227-0426

ملخص

A 22-year-old booked primigravida underwent lower segment caesarean section for breech presentation. She developed signs and symptoms of wound infection by the fourth postoperative day. This was initially managed with antibiotics and wound dressing, but debridement was later undertaken after consulting surgeons. This resulted in an alarming worsening of the wound with sudden and fast increase in its size along with systemic symptoms. Wound biopsy established the diagnosis of pyoderma gangrenosum. The patient's management included oral medication with prednisolone, cyclosporin and dapsone and wound care. There was a dramatic response to this treatment. The wound completely healed by the eighth postoperative month. The oral medications were tapered off slowly and stopped by that time.

© 2015 Radhika, Singal, Radhakrishnan, Singh, licensee Bloomsbury Qatar Foundation Journals.
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References

  1. Brunsting LA, Goeckerman WH, O'Leary PA. Pyoderma (echthyma) gangrenosum:clinical and experimental observations in five cases occurring in adults. Arch Dermatol Syphilol. 1930; 22::655–680.
     [Google الباحث العلمي]
  2. Powell FC, Su WP, Perry HO. Pyoderma gangrenosum: classification and management. J Am Acad Dermatol. 1996;:410–412.
     [Google الباحث العلمي]
  3. Farhi D, Cosnes J, Zizi N, Chosidow O, Seksik P, Beaugerie L, Aractingi S, Khosrotehrani K. Significance of erythema nodosum and pyoderma gangrenosum in inflammatory bowel diseases: a cohort study of 2402 patients. Medicine (Baltimore). 2008; 87::281–293.
     [Google الباحث العلمي]
  4. Callen JP. Pyoderma gangrenosum. Lancet. 1998; 351:9102:581–585.
     [Google الباحث العلمي]
  5. Noblett SE, Woodcock S. Port-Site Pyoderma Gangrenosum– A Rare Complication of Surgical Trauma. Ann R Coll Surg Engl. 2009; 91::665–666.
     [Google الباحث العلمي]
  6. Van den Driesch P. Pyoderma gangrenosum: a report of 44 cases with follow- up. Br J Dermatol. 1997; 137::1000–1005.
     [Google الباحث العلمي]
  7. Bolognia JLJorizzo JLRapini RP, eds. Pyoderma gangrenosum. Dermatology. London, UK: Mosby 2003;:415–418.
     [Google الباحث العلمي]
  8. Su WP, Davis MD, Weenig RH, Powell FC, Perry HO. Pyoderma gangrenosum: clinicopathologic correlation and proposed diagnostic criteria. Int J Dermatol. 2004; 43::790–800.
     [Google الباحث العلمي]
  9. Harland CC, Jaffe W, Holden CA, Ross LD. Pyoderma gangrenosum complicating caesarean section. J Obstet Gynaecol. 1993; 13::115–116.
     [Google الباحث العلمي]
  10. Aytekin S, Tarlan N, Kalkanli N, Yaldiz M, Unlu G. Pyoderma gangrenosum in pregnancy. J Eur Acad Dermatol Venereol. 2002; 16::546–548.
     [Google الباحث العلمي]
  11. Sassolas B, Le Ru Y, Platin P, Lair G, Dupre PF, Cochard G, Guillet G. Pyoderma gangrenosum with pathergic phenomenon in pregnancy. Br J Dermatol. 2000; 142::827–828.
     [Google الباحث العلمي]
  12. Bernstein CN, Blanchard JF, Rawsthorne P, Yu N. The prevalence of extraintestinal diseases in inflammatory bowel disease: a population-based study. Am J Gastroenterol. 2001; 96::1116–1122.
     [Google الباحث العلمي]
  13. Poucke SV, Jorens PG, Peeters R, Jacobs W, de Beeck BO, Lambert J, Beaucourt L. Pyoderma gangrenosum: a challenging complication of bilateral mastopexy. Int Wound J. 2004; 1::207–213.
     [Google الباحث العلمي]
  14. Shands JW Jr, Flowers FP, Hill HM, Smith JO. Pyoderma gangrenosum in a kindred. Precipitation by surgery or mild physical trauma. J Am Acad Dermatol. 1987; 16::931–934.
     [Google الباحث العلمي]
  15. Harland CC, Jaffe W, Holden CA, Ross LD. Pyoderma gangrenosum complicating caesarian section. J Obstet Gynaecol. 1993; 13::115–116.
     [Google الباحث العلمي]
  16. Stone N, Harland C, Ross L, Holden C. Pyoderma gangrenosum complicating caesarian section. Clin Exp Dermatol. 1996; 21::468.
     [Google الباحث العلمي]
  17. Steadman UA, Brennan TE, Daman LA, Curry SL. Pyoderma gangrenosum following cesarean delivery. Obstet Gynecol. 1998; 91::834–836.
     [Google الباحث العلمي]
  18. Rönnau AC, Schmiedeberg SV, Bielfeld P, Ruzicka T, Schuppe HC. Pyoderma gangrenosum after caesarean delivery. Am J Obstet Gynecol. 2000; 183::502–504.
     [Google الباحث العلمي]
  19. Banga F, Schuitemaker N, Meijer P. Pyoderma gangrenosum after caesarean section: a case report. Reprod Health. 2006; 22::1–5.
     [Google الباحث العلمي]
  20. Suárez-Pérez JA, Herrera-Acosta E, López-Navarro N, Vilchez-Márquez F, Prieto JD, Bosch RJ, Herrera E. Pioderma gangrenoso: Presentación de 15 casos y revisión de la literatura. Actas Dermosifiliogr. 2012; 103::120–126.
     [Google الباحث العلمي]
  21. Pauser S, Goerge T, Eickelmann M, Gaubitz M, Luger TA, Steinhoff M. Pyoderma Gangrenosum After Cesarean Delivery. Clinical Medicine Insights: Dermatology. 2009; 2::23–26.
     [Google الباحث العلمي]
  22. Schwaegerle SM, Bergfeld WF, Senitzer D, Tidrick RT. Pyoderma gangrenosum: a review. J Am Acad Dermatol. 1988; 18::559–568.
     [Google الباحث العلمي]
  23. Matis WL, Ellis CN, Griffiths CE, Lazarus GS. Treatment of pyoderma gangrenosum with cyclosporine. Arch Dermatol. 1992; 128::1060–1064.
     [Google الباحث العلمي]
/content/journals/10.5339/qmj.2015.1
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Pyoderma gangrenosum following a routine caesarean section: Pseudo-infection in a caesarean wound
Qatar Medical Journal 2015, 1 (٢٠١٥); https://doi.org/10.5339/qmj.2015.1
/content/journals/10.5339/qmj.2015.1
/content/journals/10.5339/qmj.2015.1
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  • نوع المستند: Case Report
الموضوعات الرئيسية caesarean section, non-healing ulcer, pathergy and pyoderma gangrenosum

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