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Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment

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Postoperative Pyoderma Gangrenosum in a Laparoscopic Gastrectomy Port Site: A Case Report.

Suguru Yamauchi, Yuji Ando, Sanae Kaji

Juntendo Iji Zasshi = Juntendo Medical Journal

|July 31, 2024

Summary

Postoperative pyoderma gangrenosum (PPG) is a rare skin condition mimicking surgical site infections. Early recognition and distinct treatment are crucial for patient outcomes.

Keywords:

laparoscopic gastrectomy postoperative pyoderma gangrenosum surgical site infection

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Area of Science:

Dermatology
Surgical Pathology

Background:

Postoperative pyoderma gangrenosum (PPG) is a rare, ulcerative skin disease with unknown causes.
PPG and surgical site infections (SSI) share clinical similarities but require different treatments.

Observation:

An 82-year-old male patient developed fever and wound complications post-gastrectomy.
Initial diagnosis of SSI was made, but the patient's condition worsened despite antibiotic treatment.

Findings:

The patient was diagnosed with pyoderma gangrenosum (PG) due to worsening pain and lack of bacterial growth.
Treatment with oral prednisolone led to significant improvement in skin and inflammatory markers.

Implications:

This case highlights the importance of considering PPG in postoperative patients with atypical wound presentations.
Distinguishing PPG from SSI is critical for appropriate management and preventing adverse outcomes.