Pouchitis-associated pyoderma gangrenosum following restorative proctocolectomy for ulcerative colitis

被引:12
作者
Abdelrazeq, AS [1 ]
Lund, JN [1 ]
Leveson, SH [1 ]
机构
[1] York Hosp, Acad Dept Gen Surg, York, N Yorkshire, England
关键词
pouchitis; ulcerative colitis; ileal pouch-anal anastomosis; extra-intestinal manifestations; pyoderma gangrenosum;
D O I
10.1097/00042737-200410000-00017
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
A 43-year-old female with ulcerative colitis treated by proctocolectomy and ileal pouch-anal anastomosis developed acute pouchitis. Although no extra-intestinal manifestations were present before the surgical procedure, pyoderma gangrenosum developed concomitantly with the appearance of acute pouchitis. Both conditions completely resolved with oral metronidazole only. This is the first report of acute pouchitis-related pyoderma gangrenosum. This association suggests that pouchitis may represent a recurrent ulcerative colitis-like syndrome within the novel environment of the pouch.
引用
收藏
页码:1057 / 1058
页数:2
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