Pyoderma gangrenosum following complex reconstruction of a large-scale lower limb defect by combined Parascapular and latissimus dorsi flap

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Pyoderma gangrenosum following complex reconstruction of a large-scale lower limb defect by combined Parascapular and latissimus dorsi flap. / Cordts, Tomke; Bigdeli, Amir K; Harhaus, Leila; Hirche, Christoph; Kremer, Thomas; Kneser, Ulrich; Schmidt, Volker J.

I: Journal of Surgical Case Reports, Bind 2017, Nr. 1, 17.01.2017.

Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt

Harvard

Cordts, T, Bigdeli, AK, Harhaus, L, Hirche, C, Kremer, T, Kneser, U & Schmidt, VJ 2017, 'Pyoderma gangrenosum following complex reconstruction of a large-scale lower limb defect by combined Parascapular and latissimus dorsi flap', Journal of Surgical Case Reports, bind 2017, nr. 1. https://doi.org/10.1093/jscr/rjw241

APA

Cordts, T., Bigdeli, A. K., Harhaus, L., Hirche, C., Kremer, T., Kneser, U., & Schmidt, V. J. (2017). Pyoderma gangrenosum following complex reconstruction of a large-scale lower limb defect by combined Parascapular and latissimus dorsi flap. Journal of Surgical Case Reports, 2017(1). https://doi.org/10.1093/jscr/rjw241

Vancouver

Cordts T, Bigdeli AK, Harhaus L, Hirche C, Kremer T, Kneser U o.a. Pyoderma gangrenosum following complex reconstruction of a large-scale lower limb defect by combined Parascapular and latissimus dorsi flap. Journal of Surgical Case Reports. 2017 jan. 17;2017(1). https://doi.org/10.1093/jscr/rjw241

Author

Cordts, Tomke ; Bigdeli, Amir K ; Harhaus, Leila ; Hirche, Christoph ; Kremer, Thomas ; Kneser, Ulrich ; Schmidt, Volker J. / Pyoderma gangrenosum following complex reconstruction of a large-scale lower limb defect by combined Parascapular and latissimus dorsi flap. I: Journal of Surgical Case Reports. 2017 ; Bind 2017, Nr. 1.

Bibtex

@article{c31e0db770984acf9ca7b825b4dc2f0b,

title = "Pyoderma gangrenosum following complex reconstruction of a large-scale lower limb defect by combined Parascapular and latissimus dorsi flap",

abstract = "A female patient with a critical soft tissue defect after elective knee replacement surgery was transferred to our department for reconstruction. As wounds were rapidly progressing, necrotizing fasciitis was initially suspected but eventually ruled out by histopathological analysis. A 50 × 15 cm defect was then reconstructed by means of a combined Parascapular and latissimus dorsi flap before, a couple days later, the patient developed tender pustules and ulcers involving the flap as well as the donor site. Attempts of excising necrotic areas not only continued to fail but seemed to worsen the patient's wound and overall condition. Eventually, pyoderma gangrenosum (PG) was diagnosed and local and systemic therapy was initiated but treatment proved to be challenging and insufficient at first. Being an extremely aggressive disease, early diagnosis is crucial and PG should always be suspected when rapidly progressive ulceration on surgical sites is observed.",

author = "Tomke Cordts and Bigdeli, {Amir K} and Leila Harhaus and Christoph Hirche and Thomas Kremer and Ulrich Kneser and Schmidt, {Volker J}",

year = "2017",

month = jan,

day = "17",

doi = "10.1093/jscr/rjw241",

language = "English",

volume = "2017",

journal = "Journal of Surgical Case Reports",

issn = "2042-8812",

publisher = "Oxford University Press",

number = "1",

}

RIS

TY - JOUR

T1 - Pyoderma gangrenosum following complex reconstruction of a large-scale lower limb defect by combined Parascapular and latissimus dorsi flap

AU - Cordts, Tomke

AU - Bigdeli, Amir K

AU - Harhaus, Leila

AU - Hirche, Christoph

AU - Kremer, Thomas

AU - Kneser, Ulrich

AU - Schmidt, Volker J

PY - 2017/1/17

Y1 - 2017/1/17

N2 - A female patient with a critical soft tissue defect after elective knee replacement surgery was transferred to our department for reconstruction. As wounds were rapidly progressing, necrotizing fasciitis was initially suspected but eventually ruled out by histopathological analysis. A 50 × 15 cm defect was then reconstructed by means of a combined Parascapular and latissimus dorsi flap before, a couple days later, the patient developed tender pustules and ulcers involving the flap as well as the donor site. Attempts of excising necrotic areas not only continued to fail but seemed to worsen the patient's wound and overall condition. Eventually, pyoderma gangrenosum (PG) was diagnosed and local and systemic therapy was initiated but treatment proved to be challenging and insufficient at first. Being an extremely aggressive disease, early diagnosis is crucial and PG should always be suspected when rapidly progressive ulceration on surgical sites is observed.

AB - A female patient with a critical soft tissue defect after elective knee replacement surgery was transferred to our department for reconstruction. As wounds were rapidly progressing, necrotizing fasciitis was initially suspected but eventually ruled out by histopathological analysis. A 50 × 15 cm defect was then reconstructed by means of a combined Parascapular and latissimus dorsi flap before, a couple days later, the patient developed tender pustules and ulcers involving the flap as well as the donor site. Attempts of excising necrotic areas not only continued to fail but seemed to worsen the patient's wound and overall condition. Eventually, pyoderma gangrenosum (PG) was diagnosed and local and systemic therapy was initiated but treatment proved to be challenging and insufficient at first. Being an extremely aggressive disease, early diagnosis is crucial and PG should always be suspected when rapidly progressive ulceration on surgical sites is observed.

U2 - 10.1093/jscr/rjw241

DO - 10.1093/jscr/rjw241

M3 - Journal article

C2 - 28096323

VL - 2017

JO - Journal of Surgical Case Reports

JF - Journal of Surgical Case Reports

SN - 2042-8812

IS - 1

ER -

ID: 329567105