Incisional pyoderma gangrenosum after caesarean section: Two case reports.

Abstract

INTRODUCTION:

Pyoderma gangrenosum (PG) in pregnant women is rare and resembles surgical site infection (SSI). Here we present two cases of PG after caesarean section.

CASE 1:

A 29-year-old woman, who had a history of recurrent wound dehiscence after surgery, exhibited wound ulceration and exudate 6 days after caesarean section. Antibiotics were ineffective and multiple wound cultures were negative. Skin biopsy indicated PG and oral steroid administration resulted in wound improvement.

CASE 2:

A 27-year-old woman, who had a history of PG, exhibited wound ulceration and exudate 5 days after caesarean section. The lesion developed despite antibiotic administration, and multiple wound cultures were negative. Skin biopsy indicated PG and the wound improved after oral steroid administration.

DISCUSSION:

Definitive diagnosis of PG is essential because its treatment differs from that of SSI. PG after caesarean section can be misdiagnosed as SSI, even when there is a history of wound dehiscence or PG.

• Authors: Tsuyoshi Murata, Hyo Kyozuka, Toma Fukuda, Tsuyoshi Hiraiwa, Akiko Yamaguchi, Keiya Fujimori
• Journal: Case reports in women's health (Case Rep Womens Health) Vol. 23 Pg. e00128 (Jul 2019) ISSN: 2214-9112 [Electronic] Netherlands
• PMID: 31431888 (Publication Type: Case Reports)