Fadrique Alfonso García, Ferrer Francisco Villalba, Esteban Marcos Bruna, Vila José Vicente Roig
Servicio de Cirugía General y del Aparato Digestivo, Consorcio Hospital General Universitario de Valencia, Valencia, España.
Cir Esp. 2007 May;81(5):279-81. doi: 10.1016/s0009-739x(07)71319-2.
We describe the medical-surgical management of a patient with a complex inflammatory bowel disease who developed 2 acute episodes of pyoderma gangrenosum and enterocutaneous fistulas after ileal pouch-anal anastomosis for ulcerative colitis. The rarity of this postsurgical complication is emphasized. A good response to topical tacrolimus was achieved in cutaneous wounds. A less favorable response to infliximab was achieved in the abdominal fistulas, requiring surgical excision of the pouch.
我们描述了一名患有复杂炎症性肠病患者的内科-外科治疗情况，该患者在因溃疡性结肠炎接受回肠储袋肛管吻合术后出现了2次坏疽性脓皮病急性发作和肠皮肤瘘。强调了这种术后并发症的罕见性。皮肤伤口对局部他克莫司反应良好。腹部瘘对英夫利昔单抗反应较差，需要手术切除储袋。
