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Revista Española de Enfermedades Digestivas
Print version ISSN 1130-0108
Abstract
CERDAN-SANTACRUZ, Carlos et al. Peri-ileostomy pyoderma gangrenosum: case report. Rev. esp. enferm. dig. [online]. 2014, vol.106, n.4, pp.285-288. ISSN 1130-0108.
Pyoderma gangrenosum is one of the most severe complications that can occur following stoma placement. Despite few cases reported in the literature, it is considered an underdiagnosed entity. We present a case of peri-ileostomy pyoderma gangrenosum (PPG) in a patient who underwent a pancoloproctectomy and permanent ileostomy due to ulcerative colitis (UC). Treatment was based on local cures, proper fitting of ostomy devices, topical tacrolimus and systemic corticosteroids, adalimumab and antibiotics. Satisfactory resolution was achieved in eight weeks.
Keywords : Inflammatory bowel disease; Ulcerative colitis; Crohn's disease; Pyoderma ganrenosum; Stoma.