Vaginal cuff pyoderma gangrenosum with associated ureteral stricture: A case report

• Type of Material: Article
• Authors: Eric Walton, Emory University; Zachary Wolner, Emory University; Jessica Hammett, Emory University
• Language: English
• Date: 2021-11-01
• Publisher: Elsevier
• Publication Version: Final Published Version
• Copyright Statement: © 2021 The Authors. Published by Elsevier Inc.
• License: Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International
• Final Published Version (URL): http://dx.doi.org/10.1016/j.eucr.2021.101826
• Title of Journal or Parent Work: Urology Case Reports
• Volume: 39
• Start Page: 101826
• End Page: 101826
• Keywords: Pyoderma gangrenosum; Pelvic surgery; Ureteral stricture; Vaginal cuff
• Research Categories: Health Sciences, Obstetrics and Gynecology

Abstract

Pyoderma gangrenosum is a sterile inflammatory disease of unknown etiology characterized by recurrent cutaneous ulcers. It can occur in extracutaneous locations, especially at operative sites, and has been reported following gynecologic surgery. This report is the first case of pyoderma gangrenosum as a remote complication of pelvic surgery with associated ureteral stricture. It demonstrates the diagnostic challenge of this rare disease and the importance of broadening the differential diagnosis when apparent infections do not respond to treatment to minimize the morbidity of ineffective antibiotic and surgical interventions.