A 76-year-old male with a history of hepatitis B virus infection, ocular myasthenia gravis and constitutional thrombocytopenia underwent surgery for lung carcinoma in the middle lobe by means of video-assisted lobectomy. At the follow-up visit 7 days after surgery, he reported intense pain in the surgical wound. On examination, a lesion was observed with multiple pustules that had evolved to ulcers with raised purple edges (Fig. 1). The cultures were negative for bacteria, mycobacteria and fungi, and the pathology results confirmed the diagnosis of pyoderma gangrenosum (Fig. 2). The patient received treatment with oral prednisone, resulting in complete resolution of the lesion.
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The authors have received no specific grant from public, commercial or non-profit sectors.
Please cite this article as: Balciscueta Coltell I, Estors Guerrero M, Martínez Hernández N, Galbis Caravajal JM. Pioderma gangrenoso en herida quirúrgica de lobectomía pulmonar. Cir Esp. 2020;98:237.
