Peristomal Pyoderma Gangrenosum in a Rectal Cancer Patient With an Ileostomy: A Case Study.
Autor: | Cerdán Santacruz C; Carlos Cerdán Santacruz, MD, PhD, Colorectal Surgery Department, Santa Elena Clinic, Madrid, Spain.; Margarita Lancharro Bermúdez, Hospital Clínico San Carlos, Madrid, Spain.; María Rosario Caparrós Sanz, Hospital Clínico San Carlos, Madrid, Spain.; Javier Cerdán Miguel, MD, PhD, Colorectal Surgery Department, Santa Elena Clinic, Madrid, Spain., Lancharro Bermúdez M; Carlos Cerdán Santacruz, MD, PhD, Colorectal Surgery Department, Santa Elena Clinic, Madrid, Spain.; Margarita Lancharro Bermúdez, Hospital Clínico San Carlos, Madrid, Spain.; María Rosario Caparrós Sanz, Hospital Clínico San Carlos, Madrid, Spain.; Javier Cerdán Miguel, MD, PhD, Colorectal Surgery Department, Santa Elena Clinic, Madrid, Spain., Caparrós Sanz MR; Carlos Cerdán Santacruz, MD, PhD, Colorectal Surgery Department, Santa Elena Clinic, Madrid, Spain.; Margarita Lancharro Bermúdez, Hospital Clínico San Carlos, Madrid, Spain.; María Rosario Caparrós Sanz, Hospital Clínico San Carlos, Madrid, Spain.; Javier Cerdán Miguel, MD, PhD, Colorectal Surgery Department, Santa Elena Clinic, Madrid, Spain., Cerdán Miguel J; Carlos Cerdán Santacruz, MD, PhD, Colorectal Surgery Department, Santa Elena Clinic, Madrid, Spain.; Margarita Lancharro Bermúdez, Hospital Clínico San Carlos, Madrid, Spain.; María Rosario Caparrós Sanz, Hospital Clínico San Carlos, Madrid, Spain.; Javier Cerdán Miguel, MD, PhD, Colorectal Surgery Department, Santa Elena Clinic, Madrid, Spain. |
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Jazyk: | angličtina |
Zdroj: | Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society [J Wound Ostomy Continence Nurs] 2020 Jul/Aug; Vol. 47 (4), pp. 403-406. |
DOI: | 10.1097/WON.0000000000000657 |
Abstrakt: | Background: Peristomal pyoderma gangrenosum (PPG) is a rare complication mainly associated with inflammatory bowel disease. Although it has also been found in patients with an ileostomy with rectal cancer, the best treatment options in this context have not been precisely elucidated. Case: This case report describes the importance of a multidisciplinary treatment approach for a rare case of PPG around a protective ileostomy resulting from rectal cancer. Conclusions: Early diagnosis of PPG is imperative to avoid further extension of the lesion. Aggressive management with a multidrug treatment, both topical and systemic, is recommended in severe cases. Close monitoring of the response is necessary, given the variability in the effectiveness of the treatments. |
Databáze: | MEDLINE |
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