Extensive postoperative pyoderma gangrenosum
- 1Department of Cardiothoracic Surgery, St George's Hospital NHS Trust, London, UK
- 2College of Medical and Dental Sciences, School of Immunity and Infection, Edgbaston, UK
- 3Department of Surgery, Medway Maritime Hospital, Kent, UK
- Correspondence to Dr Louise Hendra,
A lady in her 60s re-presented to hospital 2 weeks after a laparoscopic abdominal-approach perineal hernia repair. She complained of severe abdominal pain and oozing from a wound site. On examination she was noted to have serosanginous discharge from the abdominal port site with surrounding erythema.
A working diagnosis of abdominal wall cellulitis was made. Blood cultures and wound site swabs were taken and the patient was admitted for …