Case with pyoderma gangrenosum abruptly emerging around the wound of cesarean section for placenta previa with placenta accrete.

A 39-year-old woman underwent emergency cesarean section (CS) due to placenta previa totalis with massive bleeding. Two major problems emerged in this patient after CS was carried out. One was partial retention of the placenta due to placenta accreta. Another major and more serious problem was pyode...

Descripción completa

Detalles Bibliográficos
Publicado en:Journal of Obstetrics & Gynaecology Research Vol. 42; no. 9; pp. 1190 - 1194
Autores principales: Nonaka, Taro, Yoshida, Kunihiko, Yamaguchi, Masayuki, Aizawa, Atsuko, Fujiwara, Hiroshi, Enomoto, Takayuki, Takakuwa, Koichi
Formato: case study diagnostic images pictorial Journal Article
Publicado: Wiley-Blackwell Sep2016
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=117901554&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 117901554
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        13418076
        Q17
      jtl: Journal of Obstetrics & Gynaecology Research
      issn: 13418076
      maglogo: Y
    pubinfo:
      dt: Sep2016
      vid: 42
      iid: 9
      pid: 480
      pub: Wiley-Blackwell
      place: Malden, Massachusetts
    artinfo:
      ui:
        117901554
        117901554
        117901554
        10.1111/jog.13033
        117901554
      ppf: 1190
      ppct: 4
      formats:
      tig:
        atl: Case with pyoderma gangrenosum abruptly emerging around the wound of cesarean section for placenta previa with placenta accrete.
      aug:
        au:
          Nonaka, Taro
          Yoshida, Kunihiko
          Yamaguchi, Masayuki
          Aizawa, Atsuko
          Fujiwara, Hiroshi
          Enomoto, Takayuki
          Takakuwa, Koichi
        affil: Department of Obstetrics and Gynecology, Niigata University Medical and Dental Hospital, Niigata City Japan
      sug:
        subj:
          Pyoderma Gangrenosum Diagnosis
          Cesarean Section Adverse Effects
          Postoperative Complications
          Female
          Adult
          Placenta Praevia Complications
          Placenta Accreta Complications
          Placenta, Retained Surgery
          Pyoderma Gangrenosum Etiology
          Prednisolone Administration and Dosage
          Pyoderma Gangrenosum Drug Therapy
          Adult: 19-44 years
          Female
      ab: A 39-year-old woman underwent emergency cesarean section (CS) due to placenta previa totalis with massive bleeding. Two major problems emerged in this patient after CS was carried out. One was partial retention of the placenta due to placenta accreta. Another major and more serious problem was pyoderma gangrenosum (PG) widely appearing at the skin of the abdomen around the CS wound. Conservative treatment was performed for the retained placenta, and it had completely disappeared by 76 days after the CS. The diagnosis of PG was promptly made in consultation with a plastic surgeon and a dermatologist when a wide ulcer emerged around the CS wound, and high-dose prednisolone was administered as treatment. At 90 days following the CS, near-complete epithelialization was achieved. This extremely rare case reflects the importance of rapid diagnosis and treatment of PG.
      pubtype: Academic Journal
      doctype:
        case study
        diagnostic images
        pictorial
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N