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Pyoderma gangrenosum after hip hemiarthroplasty; a case report
E Laskaratou1, N Trygonis1, R Dimitriou1
1Department of Orthopaedics, University Hospital of Heraklion, 71500 Crete, Greece.
Trauma Case Reports
|September 23, 2022
Summary
Pyoderma gangrenosum is a rare neutrophilic disorder that can complicate surgery. This case highlights its occurrence after hip surgery, emphasizing diagnostic challenges.
Area of Science:
- Dermatology
- Surgical Complications
Background:
- Pyoderma gangrenosum (PG) is a rare neutrophilic dermatosis.
- It often mimics infection, delaying diagnosis and treatment.
- PG can occur post-surgically, particularly after breast and abdominal procedures.
Observation:
- This report details a case of PG in an 86-year-old woman post-hip hemiarthroplasty.
- The patient sustained a neck of femur fracture prior to surgery.
- Diagnosis was confirmed two weeks postoperatively via biopsy.
Findings:
- The patient presented with pyoderma gangrenosum following hip surgery.
- Associated systemic manifestations included seizures and atrial fibrillation.
- Biopsy confirmed the diagnosis of pyoderma gangrenosum.
Implications:
- This case underscores the importance of considering pyoderma gangrenosum in post-surgical wound complications.
- Early recognition and appropriate treatment with corticosteroids are crucial.
- The occurrence after hip surgery expands the known spectrum of surgical triggers for PG.
