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腹腔镜检查术后坏疽性脓皮病:一种罕见的并发症。

Pyoderma gangrenosum postlaparoscopy: a rare complication.

作者信息

Cunha Vanessa Santos, Magno Valentino, Wendt Luiz Roberto Rigo, Furian Thiago Quedi, Passos Eduardo Pandolfi

机构信息

Department of Dermatology, Universidade Federal de Santa Catarina, Florianópolis, Brazil.

出版信息

Surg Laparosc Endosc Percutan Tech. 2012 Feb;22(1):e45-7. doi: 10.1097/SLE.0b013e318241c120.

DOI:10.1097/SLE.0b013e318241c120
PMID:22318079
Abstract

Pyoderma gangrenosum (PG) is a rare, chronic, often destructive, inflammatory skin disease in which a painful nodule or pustule breaks down to form a progressively enlarging ulcer. There are only 4 reported cases of postlaparoscopic PG and the purpose of this case report is to describe a patient found to have the disease after elective laparoscopy. Although rare, the occurrence of PG after surgery, even where incisions are small such as in laparoscopic surgery, is a diagnosis that cannot be neglected, especially due to the high morbidity, which increases if the diagnosis is not made and the patient is subjected to debridement.

摘要

坏疽性脓皮病(PG)是一种罕见的、慢性的、通常具有破坏性的炎症性皮肤病,其中疼痛性结节或脓疱破溃形成逐渐扩大的溃疡。腹腔镜术后发生PG的报道仅有4例,本病例报告的目的是描述一名在择期腹腔镜检查后被发现患有该病的患者。尽管罕见,但手术后发生PG,即使是在切口较小的腹腔镜手术中,也是一个不可忽视的诊断,尤其是因为其高发病率,如果未做出诊断且患者接受清创术,发病率会增加。

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