BMJ Case Reports 2013; doi:10.1136/bcr-2012-007914
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Extensive postoperative pyoderma gangrenosum

  1. Pankaj Gandhi3
  1. 1Department of Cardiothoracic Surgery, St George's Hospital NHS Trust, London, UK
  2. 2College of Medical and Dental Sciences, School of Immunity and Infection, Edgbaston, UK
  3. 3Department of Surgery, Medway Maritime Hospital, Kent, UK
  1. Correspondence to Dr Louise Hendra, louhendra{at}


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 …

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