Post-surgical pyoderma gangrenosum of the vaginal vault associated with ulcerative colitis and Behçet's disease; a case report.
A case is described in which a patient with ulcerative colitis developed chronic vaginal ulceration around the incision lines after cone biopsy. The ulcers persisted at the vaginal vault after abdominal hysterectomy and removal of a cuff of vagina. Non-specific histological features compatible with pyoderma gangrenosum were found on biopsy. The auto-immune nature of this chronic ulcer is further supported by its rapid response to steroid therapy and the subsequent development of Behçet's syndrome.
Lilford
R J
RJ
Department of Obstetrics and Gynaecology, St. James' University Hospital, Leeds, U.K.
Tindall
V R
VR
Batchelor
A G
AG
D000328:Adult; D001528:Behcet Syndrome / Q000150:complications*; D003093:Colitis, Ulcerative / Q000150:complications* / Q000601:surgery; D005260:Female; D005734:Gangrene / Q000150:complications*; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D011711:Pyoderma / Q000150:complications*; D014456:Ulcer / Q000209:etiology; D014623:Vaginal Diseases / Q000150:complications*