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Incisional pyoderma gangrenosum after caesarean section: Two case reports.
Tsuyoshi Murata1, Hyo Kyozuka1, Toma Fukuda1
1Department of Obstetrics and Gynecology, Fukushima Medical University School of Medicine, Fukushima, Japan.
Case Reports in Women'S Health
|August 22, 2019
Summary
Pyoderma gangrenosum (PG) after caesarean section is rare and can mimic surgical site infections (SSI). Early diagnosis and distinct treatment are crucial for effective management of this condition.
Area of Science:
- Dermatology
- Obstetrics & Gynecology
Background:
- Pyoderma gangrenosum (PG) is a rare ulcerative inflammatory skin condition.
- PG occurring postpartum after caesarean section is exceptionally uncommon.
- It can be misdiagnosed as surgical site infection (SSI).
Observation:
- Two cases of women presenting with wound ulceration and exudate post-caesarean section are described.
- Both patients experienced delayed wound healing despite antibiotic treatment and negative wound cultures.
- One patient had a history of recurrent wound dehiscence, and the other had a history of PG.
Findings:
- Skin biopsies confirmed pyoderma gangrenosum in both cases.
- Treatment with oral steroids led to significant wound improvement in both patients.
- The condition mimicked surgical site infections, highlighting diagnostic challenges.
Implications:
- Accurate diagnosis of PG is critical as its management differs from SSI.
- Healthcare providers should consider PG in postpartum women with non-healing caesarean wounds.
- Timely recognition and appropriate treatment can prevent complications and improve patient outcomes.
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