Extensive Pyoderma gangrenosum following breast reduction and abdominoplasty: a challenging case

Area of Science:

• Dermatology
• Surgical Pathology

Background:

• Pyoderma gangrenosum (PG) is a rare neutrophilic dermatosis.
• Post-surgical pyoderma gangrenosum (PSP G) is a distinct subtype presenting in surgical wounds.

Observation:

• A 55-year-old female developed severe PSP G following breast augmentation and abdominoplasty.
• The condition manifested as non-infectious, inflammatory, ulcerative nodules at incision sites.

Findings:

• Delayed diagnosis and surgical intervention exacerbated PSP G.
• The patient's presentation highlights the challenges in identifying PSP G.

Implications:

• This case underscores the importance of recognizing PSP G in post-operative patients.
• Prompt diagnosis and appropriate management are vital to minimize morbidity associated with PSP G.