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Ogata K, Takamori H, Ikuta Y, et al. Pyoderma gangrenosum in an abdominal surgical site: a case report. Surg Case Rep. 2015;1(1):122doi: 10.1186/s40792-015-0124-3.
Ogata, K., Takamori, H., Ikuta, Y., Tanaka, H., Ozaki, N., Hayashi, H., Ogawa, K., & Doi, K. (2015). Pyoderma gangrenosum in an abdominal surgical site: a case report. Surgical case reports, 1(1), 122. https://doi.org/10.1186/s40792-015-0124-3
Ogata, Kenichi, et al. "Pyoderma gangrenosum in an abdominal surgical site: a case report." Surgical case reports vol. 1,1 (2015): 122. doi: https://doi.org/10.1186/s40792-015-0124-3
Ogata K, Takamori H, Ikuta Y, Tanaka H, Ozaki N, Hayashi H, Ogawa K, Doi K. Pyoderma gangrenosum in an abdominal surgical site: a case report. Surg Case Rep. 2015 Dec;1(1):122. doi: 10.1186/s40792-015-0124-3. Epub 2015 Dec 09. PMID: 26943446; PMCID: PMC4674460.
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Surg Case Rep. 2015 Dec;1(1):122. doi: 10.1186/s40792-015-0124-3. Epub 2015 Dec 09.

Pyoderma gangrenosum in an abdominal surgical site: a case report.

Surgical case reports

Kenichi Ogata, Hiroshi Takamori, Yoshiaki Ikuta, Hideyuki Tanaka, Nobuyuki Ozaki, Hiromitsu Hayashi, Katsuhiro Ogawa, Koichi Doi

Affiliations

  1. Department of Surgery, Saiseikai Kumamoto Hospital, 5-3-1 Chikami, Munami-ku, Kumamoto, 861-4193, Japan. [email protected].
  2. Department of Surgery, Saiseikai Kumamoto Hospital, 5-3-1 Chikami, Munami-ku, Kumamoto, 861-4193, Japan. [email protected].
  3. Department of Surgery, Saiseikai Kumamoto Hospital, 5-3-1 Chikami, Munami-ku, Kumamoto, 861-4193, Japan. [email protected].
  4. Department of Surgery, Saiseikai Kumamoto Hospital, 5-3-1 Chikami, Munami-ku, Kumamoto, 861-4193, Japan. [email protected].
  5. Department of Surgery, Saiseikai Kumamoto Hospital, 5-3-1 Chikami, Munami-ku, Kumamoto, 861-4193, Japan. [email protected].
  6. Department of Surgery, Saiseikai Kumamoto Hospital, 5-3-1 Chikami, Munami-ku, Kumamoto, 861-4193, Japan. [email protected].
  7. Department of Surgery, Saiseikai Kumamoto Hospital, 5-3-1 Chikami, Munami-ku, Kumamoto, 861-4193, Japan. [email protected].
  8. Department of Surgery, Saiseikai Kumamoto Hospital, 5-3-1 Chikami, Munami-ku, Kumamoto, 861-4193, Japan. [email protected].

PMID: 26943446 PMCID: PMC4674460 DOI: 10.1186/s40792-015-0124-3

Abstract

Pyoderma gangrenosum (PG) is an uncommon, ulcerative skin disease that is often associated with systemic diseases. Herein, we report a development of PG in a surgical site after cholecystectomy that was difficult to discriminate from surgical site infection. The patient was a 74-year-old man who had previously been diagnosed with myelodysplastic syndrome (MDS). Laparoscopic cholecystectomy was planned under diagnosis of cholecystolithiasis, but we converted to open cholecystectomy. The surgical wound was partially erythematous 4 days after surgery. In spite of opening the wound, cleansing it with sterile saline, and administration of antibiotics, inflammation spread with erosion. The clinical manifestations and histopathologic features of biopsy specimen indicated that diagnosis of PG associated with MDS was most likely. Administration of glucocorticoids made a rapid response of skin inflammation. The differential diagnosis of postoperative wound healing complications that were unresponsive to conventional wound local care and antibiotic therapy should include PG, especially in patients with systemic diseases such as MDS.

Keywords: Myelodysplastic syndrome; Pyoderma gangrenosum; Surgical site

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