| Autor: |
E, Hornez, T, Monchal, S, Ottomani, S, Bourgouin, J-P, Platel, B, Fournier, H, Thouard |
| Jazyk: |
francouzština |
| Rok vydání: |
2009 |
| Předmět: |
|
| Zdroj: |
Journal de chirurgie. 146(6) |
| ISSN: |
1773-0422 |
| Popis: |
This study reports a case of pyoderma gangrenosum arising at a drainage orifice after a colostomy for cancer. The initial clinical presentation suggested intra-abdominal sepsis but the clinical assessment did not fit with laboratory findings or the CT scan. Forty hours later, the patient developed a reddish-purple ulcer at the drainage orifice. A diagnosis of pyoderma gangrenosum was made and systemic corticosteroid therapy was started. A dramatic response occurred over the next two days, obviating the need for surgical re-intervention. Pyoderma gangrenosum is an ulcerating necrotizing skin disorder of unknown etiology. It usually arises in association with underlying disease (mainly inflammatory bowel disease) and often occurs in para-stomal sites. Pyoderma gangrenosum arising at surgical sites is often mistaken for a postoperative infection and treated inappropriately with debridement and reopening of the wound which only exacerbates the pathology. Pyoderma gangrenosum is effectively treated with systemic corticosteroids. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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