Abstract

VEGA, S Toso Díaz de la; ORTEGA, I Jimeno; FIGUEROA, C Escanilla  and  ROJAS, F Chávez. Postoperative pyoderma gangrenosum:  a case report of a patient with retroperitoneal fibrosis. Rev. argent. dermatol. [online]. 2018, vol.99, n.1, pp.1-10. ISSN 1851-300X.

Gangrenous pioderma (PG) is an uncommon ulcerative pathology of unknown etiology associated with autoimmune diseases. It is a non-predictable chronic condition, that can be incapacitating and patients that suffer this disease can also present systemic compromise. As it is a diagnosed by exclusion it may lead to long periods of failed treatments. The present work deals with a case of a 52-year-old male patient with no prior record of disease, who was admitted to the ER of El Pino Hospital suffering from recurrent abdominal pain. During the imaging study a retroperitoneal mass was found, associated with a left hydro-uretero-nephrosis. He was admitted and a exploratory mid-laparotomy was performed and samples were taken for biopsy. The procedure was successful and the established protocol was followed. However, during the recovery period the patient developed repeated surgical wound dehiscences of the surgical wounds. An internal consultation with the Dermatology Service took place, and the diagnosis of PG was made; proper pharmaceutical treatment was provided attaining excellent results.

Keywords : pyoderma gangrenosum; postoperative; etroperitoneal fibrosis; Ormond's disease; skin ulcer.