Obstet Gynecol Sci.  2016 Jan;59(1):62-65. 10.5468/ogs.2016.59.1.62.

Successful vaginal birth after prior cesarean section in a patient with pyoderma gangrenosum

• Park JY
• Lee J
• Park JS
• Jun JK

• KMID: 2152647
• DOI: http://doi.org/10.5468/ogs.2016.59.1.62

Abstract

Pyoderma gangrenosum is an extremely rare chronic cutaneous disease causing severe ulceration. It can be developed after minor trauma or surgical procedure. The typical features mimic acute infection site, however the treatment methods are opposing since pyoderma gangrenosum is improved with the use of corticosteroids, not antibiotic therapy. We here report a patient who had been diagnosed for acute infection after cesarean delivery in 2011 and treated with a number of antibiotics, but failed to recover. The patient had suffered from pain of the disease and also renal failure caused by antibiotics. Ultimately she had been diagnosed as pyoderma gangrenosum and managed successfully with steroids. For her next pregnancy in 2013, we tried vaginal delivery after prior cesarean section and it was uneventful during and after delivery.

Keyword

Cesarean section; Pyoderma gangrenosum; Vaginal birth after cesarean; Wound infection

MeSH Terms

Adrenal Cortex Hormones
Anti-Bacterial Agents
Cesarean Section*
Female
Humans
Parturition*
Pregnancy
Pyoderma Gangrenosum*
Pyoderma*
Renal Insufficiency
Steroids
Ulcer
Vaginal Birth after Cesarean
Wound Infection
Adrenal Cortex Hormones
Anti-Bacterial Agents
Steroids

Figure

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  Fig. 1 (A,B) Cesarean delivery wound before treatment for pyoderma gangrenosum on 1st day of admission. (C) Appearance of wound on 13th day of hospitalization. (D) Appearance of wound after complete healing.

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