[Pyoderma gangrenosum peristomal in ulcerative colitis; first report of a case in Mexico].
Pyoderma gangrenosum is one of the most severe extraintestinal manifestations in patients with ulcerative colitis (UC) and Crohn s disease. This lesion is frequently located on the lower extremities and the torso. Peristomal pyoderma gangrenosum (PPG) is extremely rare. We report the first published patient with PPG and UC in Mexico. PPG occurred six weeks after restorative proctocolectomy. Diagnosis was performed by clinical presentation and biopsy. Ulcer resolution was achieved with oral steroids and local wound care. Patient did not show any recurrence at one year follow-up. We suggest suspecting this illness in all patients with UC who had a restorative proctocolectomy and present difficult management peristomal ulcers.
Vergara-Fernández
O
O
Servicio de Cirugía de Colon y Recto, Departamento de Cirugía, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Ciudad de México. omarvergara74@hotmail.com
Vega
R
R
Morales-Olivera
J M
JM
Gamboa-Domínguez
A
A
Uscanga
L
L
Takahashi-Monrroy
T
T
D003093:Colitis, Ulcerative / Q000150:complications*; D005260:Female; D006801:Humans; D007081:Ileostomy; D008800:Mexico; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*; D017511:Pyoderma Gangrenosum / Q000209:etiology*