MacDiarmid Samuel, Baxter Harriet, Mann Jordan, Chemasle Christophe
Palmerston North Hospital Urology Department, 50 Ruahine Street, Roslyn, Palmerston North, 4442, New Zealand.
Urol Case Rep. 2024 Mar 12;54:102709. doi: 10.1016/j.eucr.2024.102709. eCollection 2024 May.
Post-operative pyoderma gangrenosum is a rare neutrophilic dermatosis which forms within skin wounds following surgery. This condition is not well recognised, can be difficult to diagnose and often mimics necrotising fasciitis. While wound exploration and debridement remains the standard of care in post-operative wound infection, this can paradoxically exacerbate pyoderma gangrenosum resulting in further morbidity and mortality. As such, surgeons that encounter post-operative pyoderma gangrenosum face a diagnostic dilemma. Here we present a 65 year old gentleman who developed pyoderma gangrenosum following open radical prostatectomy. We reflect on his management and discuss the pertinent points learned from this case.
术后坏疽性脓皮病是一种罕见的中性粒细胞性皮肤病，在手术后的皮肤伤口处形成。这种情况尚未得到充分认识，诊断可能困难，且常类似坏死性筋膜炎。虽然伤口探查和清创仍是术后伤口感染的标准治疗方法，但这可能反常地加重坏疽性脓皮病，导致更高的发病率和死亡率。因此，遇到术后坏疽性脓皮病的外科医生面临诊断难题。在此，我们介绍一位65岁男性，他在开放性根治性前列腺切除术后发生了坏疽性脓皮病。我们反思了对他的治疗，并讨论了从该病例中学到的相关要点。
