Surgical Management of Extensive Peristomal Pyoderma Gangrenosum Associated With Colon Cancer.
BACKGROUND: Extensive peristomal skin ulcer due to pyoderma gangrenosum is difficult to manage and causes significant morbidity. CASE: A 69-year-old man presented with a 10x7-cm painful peristomal skin necrosis during cancer chemotherapy for metastatic colon adenocarcinoma. The diagnosis of peristom...
| Publicado en: | Journal of Wound, Ostomy & Continence Nursing Vol. 42; no. 1; pp. 102 - 106 |
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| Autores principales: | , , , |
| Formato: | case study pictorial Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Jan/Feb2015
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103877037&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 103877037 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10715754 4CQ jtl: Journal of Wound, Ostomy & Continence Nursing issn: 10715754 maglogo: N pubinfo: dt: Jan/Feb2015 vid: 42 iid: 1 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 103877037 100521164 10.1097/WON.0000000000000098 NLM25549316 103877037 ppf: 102 ppct: 4 formats: tig: atl: Surgical Management of Extensive Peristomal Pyoderma Gangrenosum Associated With Colon Cancer. aug: au: Kosuke Ishikawa Toshiyuki Minamimoto Takeo Mizuki Hiroshi Furukawa affil: Department of Plastic and Reconstructive Surgery, Hakodaate Municipal Hospital, Hakodate, Japan sug: subj: Pyoderma Gangrenosum Surgery Colonic Neoplasms Complications Aged Male Pyoderma Gangrenosum Diagnosis Debridement Skin Transplantation Negative Pressure Wound Therapy Ostomy Aged: 65+ years Male ab: BACKGROUND: Extensive peristomal skin ulcer due to pyoderma gangrenosum is difficult to manage and causes significant morbidity. CASE: A 69-year-old man presented with a 10x7-cm painful peristomal skin necrosis during cancer chemotherapy for metastatic colon adenocarcinoma. The diagnosis of peristomal pyoderma gangrenosum was made on the basis of the presence of the skin necrosis with a well-defined, undermined, violaceous border. One month after the presentation along with daily cleansing and minimal debridement without immunosuppressive treatments, wound bed preparation was deemed sufficient for a split-thickness skin graft using negative pressure wound therapy for graft fixation. One month after the operation, the ulcer was completely healed and the patient could manage ostomy pouching independently. He died of cancer 5 months later; no recurrence of the ulcer was observed during this period. CONCLUSION: Peristomal pyoderma gangrenosum was successfully treated with skin grafting after local wound management. Negative pressure wound therapy was useful for skin graft fixation in the peristomal region. pubtype: Academic Journal doctype: case study pictorial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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