Postoperative pyoderma gangrenosum: a rare complication after appendectomy
G Faghihi, B Abtahi-Naeini1, Z Nikyar
1Department of Dermatology, Skin Diseases and Leishmaniasis Research Center, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Abstract:
Pyoderma gangrenosum (PG) is an uncommon inflammatory ulcerative skin disease. It is characterized by painful progressive necrosis of the wound margins. Rarely, postoperative pyoderma gangrenosum (PPG) manifests as a severe disturbance of wound healing following surgical interventions. Only rare cases of this complication have been reported after appendectomy. We report a case of PPG in a 29-year-old female after appendectomy. She was successfully treated with oral prednisolone. Postoperative pyoderma gangrenosum should be kept in mind in the differential diagnosis of any postoperative delayed wound healing, because this disease is simply distinguished from a postoperative wound.
Insights
Postoperative pyoderma gangrenosum (PPG) is a rare complication of wound healing after surgery. This case report highlights PPG after appendectomy, successfully treated with oral prednisolone.
Area of Science:
- Dermatology
- Surgical Pathology
Background:
- Pyoderma gangrenosum (PG) is an uncommon, painful inflammatory skin disease.
- Postoperative pyoderma gangrenosum (PPG) is a rare but severe complication affecting wound healing after surgery.
Observation:
- A 29-year-old female presented with delayed wound healing post-appendectomy.
- The patient developed characteristics of pyoderma gangrenosum at the surgical site.
Findings:
- The case demonstrates a rare instance of PPG following an appendectomy.
- Successful treatment was achieved using oral prednisolone.
Implications:
- Clinicians should consider PPG in the differential diagnosis of delayed wound healing after surgery.
- Early recognition and treatment are crucial for managing this ulcerative skin condition.
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