RT Journal Article
SR Electronic
T1 Pyoderma gangrenosum following an unplanned caesarean section: a patient revisited
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e238702
DO 10.1136/bcr-2020-238702
VO 14
IS 2
A1 Waseem Ghumra
A1 Adam Gold
A1 Richard Michael Azurdia
YR 2021
UL http://casereports.bmj.com/content/14/2/e238702.abstract
AB A 35-year-old woman was referred urgently to the dermatology department because of significant wound breakdown 3 weeks following an emergency caesarean section. Examination revealed a full thickness, undermined ulcer spanning the width of the patient’s caesarean scar, exposing the patient’s uterus. Clinical appearances were consistent with pyoderma gangrenosum. The patient has a history of complicated pyoderma gangrenosum, having undergone skin grafts 14 years prior, for ulcers on her lower legs. That episode was the subject of a case report, published in the BMJ, in 2007. On this occasion, the patient was treated with oral corticosteroids, and ciclosporin based on its efficacy during her previous episode, which in conjunction with negative pressure wound therapy, resulted in complete re-epithelialisation of her ulcer within 6 months.