Pyoderma gangrenosum around an ileostoma: A case report.
Rationale: Pyoderma gangrenosum (PG) is a rare postoperative complication of enterostomy, mostly developing from dermatitis, which may have serious consequence.Patient Concerns: A patient with lower rectal cancer receiving low anterior resection (LAR) and protective ileostomy was initially diagnosed...
| Publicado en: | Medicine Vol. 97; no. 48; pp. 1 - 6 |
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| Autores principales: | , , , , , , , , , |
| Formato: | case study Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Nov2018
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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=134073648&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 134073648 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00257974 2S6 jtl: Medicine issn: 00257974 maglogo: N pubinfo: dt: Nov2018 vid: 97 iid: 48 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 134073648 134073648 NLM30508946 134073648 10.1097/MD.0000000000013415 NLM30508946 134073648 ppf: 1 ppct: 5 formats: tig: atl: Pyoderma gangrenosum around an ileostoma: A case report. aug: au: Yong-Ming Yu Fu-Ji Lai Chun Feng Bei-Lei Chen Yi-Sheng Cao Yu, Yong-Ming Lai, Fu-Ji Feng, Chun Chen, Bei-Lei Cao, Yi-Sheng affil: Department of Colorectal Surgery, Ningbo No.2 Hospital, No.41 Northwest Street, Ningbo, Zhejiang Province, China sug: subj: Skin Transplantation Methods Pyoderma Gangrenosum Therapy Ileostomy Adverse Effects Debridement Methods Male Ampicillin Therapeutic Use Autografts Zinc Oxide Therapeutic Use Antibiotics Therapeutic Use Zinc Oxide Administration and Dosage Middle Age Middle Aged: 45-64 years Male ab: Rationale: Pyoderma gangrenosum (PG) is a rare postoperative complication of enterostomy, mostly developing from dermatitis, which may have serious consequence.Patient Concerns: A patient with lower rectal cancer receiving low anterior resection (LAR) and protective ileostomy was initially diagnosed with dermatitis, which very quickly developed to PG, though no medical or familial history was found.Diagnosis: We diagnosed the patient with peristoaml dermatitis starting from a tiny skin ulceration, but corrected the diagnosis to PG because of the rapid development and severe consequences.Interventions: Routine stoma care did not improve the condition, so we performed 2 terms of debridement, the closure of the stoma and autologous skin transplantation before finally solving the problem.Outcomes: The patient was discharged 60 days after the first surgery and 5 days after the last one. After 18 months of follow-up, the patient kept in a stable condition.Lessons: Medical staff should not neglect peristoaml dermatitis because of its common occurrence. Once the situation develops beyond the doctors' expectation, more efforts should be made to treat it, even expand debridement if possible. pubtype: Academic Journal doctype: case study Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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