Perianal pyoderma gangrenosum after excision and fulguration of anal condyloma acuminatum

Abstract

HighlightsWe describe the first reported case of perianal pyoderma gangrenosum after anorectal surgery for benign disease.We review the literature regarding postsurgical pyoderma gangrenosum.Increased awareness of postsurgical pyoderma gangrenosum will aid in prompt diagnosis and proper medical management of this uncommon postoperative morbidity.

Pyoderma gangrenosum faciale in a patient with Crohn's disease

“…1,2 We found 2 other cases of perianal PG after conducting a PubMed review using the terms ''Pyoderma gangrenosum AND perianal.'' 4,5 Because PG is associated with an underlying disease in 50% to 78% of patients, most commonly IBD, investigation into a comorbid condition is warranted. 6 Endoscopic and histologic confirmation of IBD may be difficult in patients presenting with acute PG due to intolerance of or inadequate bowel preparation, timing of immunosuppressive therapies that blunt diagnostic sensitivity of gastrointestinal histology, and gastroenterologist willingness to pursue invasive tests in the absence of symptoms.…”