Peristomal Pyoderma Gangrenosum in a Rectal Cancer Patient With an Ileostomy: A Case Study

Peristomal pyoderma gangrenosum (PPG) is a rare complication mainly associated with inflammatory bowel disease. Although it has also been found in patients with an ileostomy with rectal cancer, the best treatment options in this context have not been precisely elucidated. This case report describes...

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Published inJournal of wound, ostomy, and continence nursing Vol. 47; no. 4; p. 403
Main Authors Cerdán Santacruz, Carlos, Lancharro Bermúdez, Margarita, Caparrós Sanz, María Rosario, Cerdán Miguel, Javier
Format Journal Article
LanguageEnglish
Published United States 01.07.2020
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Summary:Peristomal pyoderma gangrenosum (PPG) is a rare complication mainly associated with inflammatory bowel disease. Although it has also been found in patients with an ileostomy with rectal cancer, the best treatment options in this context have not been precisely elucidated. This case report describes the importance of a multidisciplinary treatment approach for a rare case of PPG around a protective ileostomy resulting from rectal cancer. Early diagnosis of PPG is imperative to avoid further extension of the lesion. Aggressive management with a multidrug treatment, both topical and systemic, is recommended in severe cases. Close monitoring of the response is necessary, given the variability in the effectiveness of the treatments.
ISSN:1528-3976
DOI:10.1097/WON.0000000000000657