Related Experiment Video
Updated: Jun 9, 2025
07:49
Colonial Wig Pancreaticojejunostomy
Published on: March 12, 2019
11.9K
Postsurgical pyoderma gangrenosum after mastectomy with a familial component
Christine Courtney Rogers1, Jordyn Nepper2, Kassandra E Holzem2
1Division of Surgical Oncology, Department of Surgery, Medical College of Wisconsin, Milwaukee, WI 53226, United States.
Journal of Surgical Case Reports
|October 23, 2024
Summary
Postsurgical pyoderma gangrenosum (PSPG) is a rare skin condition mimicking infection after surgery. Early recognition and management of PSPG are crucial to avoid unnecessary treatments and improve patient outcomes.
Area of Science:
- Dermatology
- Oncology
- Pathology
Background:
- Postsurgical pyoderma gangrenosum (PSPG) is a rare ulcerative skin condition.
- It poses a diagnostic challenge due to its similarity to infectious causes post-surgery.
- This can lead to unnecessary surgical interventions and antibiotic treatments.
Observation:
- A 37-year-old female with breast cancer developed delayed bilateral mastectomy skin flap necrosis.
- She had received neoadjuvant chemotherapy and immunotherapy before undergoing bilateral skin-sparing mastectomies.
- The necrosis was secondary to postsurgical pyoderma gangrenosum (PSPG).
Findings:
- This PSPG case presented with rare associated factors, including preoperative systemic therapy.
- A familial component was also noted in this patient's history.
- The condition manifested as delayed skin flap necrosis after mastectomy.
Implications:
- This case highlights the importance of early recognition of PSPG.
- Appropriate management of PSPG can prevent unnecessary surgical procedures and antibiotic use.
- Timely diagnosis and treatment are essential for optimal patient outcomes in PSPG cases.
Related Concept Videos
01:23Peripheral Artery Disease V: Postoperative Nursing Management
3
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
3
01:25Peptic Ulcer Disease V: Surgical Management and Nursing Care
233
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
233
01:30Skin Cancer
3.9K
Skin cancer is a type of cancer that occurs when there is an abnormal growth of skin cells, usually triggered by damage to the DNA within the skin cells. It is primarily caused by exposure to ultraviolet (UV) radiation from the sun or artificial sources like tanning beds. Skin cancer is the most common type of cancer worldwide, and its incidence continues to rise.
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
3.9K