{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T12:17:19Z","timestamp":1756383439211,"version":"3.44.0"},"reference-count":7,"publisher":"BMJ","issue":"12","license":[{"start":{"date-parts":[[2023,12,30]],"date-time":"2023-12-30T00:00:00Z","timestamp":1703894400000},"content-version":"unspecified","delay-in-days":29,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,12,15]]},"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:p>A perimenopausal woman with abnormal uterine bleeding underwent an uncomplicated laparoscopic hysterectomy. Postoperatively, she developed fever, abdominal erythema and pain. Imaging revealed diffuse abdominal wall skin thickening, most pronounced at the right port site with a small area concerning for developing abscess. There was high clinical suspicion for necrotising fasciitis due to rapidly progressive skin deterioration. Despite antibiotics and surgical debridement, her condition progressed. Biopsy of the inflamed tissue confirmed a diagnosis of pyoderma gangrenosum (PG), and treatment with daily prednisone led to rapid improvement of symptoms.<\/jats:p>\n               <jats:p>Successful diagnosis and treatment of the patient\u2019s symptoms required multidisciplinary collaboration among gynaecology, general surgery and dermatology. PG, although a well-known condition among dermatologists, is rarely, if ever, encountered by gynaecologists, and its resemblance to conditions such as necrotising fasciitis complicates early detection and intervention. This case highlights the diagnostic and management challenges associated with PG in the gynaecological setting.<\/jats:p>","DOI":"10.1136\/bcr-2023-256676","type":"journal-article","created":{"date-parts":[[2023,12,30]],"date-time":"2023-12-30T10:35:12Z","timestamp":1703932512000},"page":"e256676","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Pyoderma gangrenosum following gynaecological surgery"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6172-5898","authenticated-orcid":false,"given":"Jennifer Tomlinson","family":"Allen","sequence":"first","affiliation":[{"name":"Obstetrics & Gynecology, Augusta University, Augusta, Georgia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diana","family":"Toro","sequence":"additional","affiliation":[{"name":"Obstetrics & Gynecology, Augusta University, Augusta, Georgia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Morgan","family":"Lough","sequence":"additional","affiliation":[{"name":"Obstetrics & Gynecology, Augusta University, Augusta, Georgia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lauren","family":"Griswold","sequence":"additional","affiliation":[{"name":"Obstetrics & Gynecology, Walter Reed National Military Medical Center, Bethesda, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,12,30]]},"reference":[{"key":"2025082804395805000_16.12.e256676.1","doi-asserted-by":"publisher","DOI":"10.1177\/0141076814534407"},{"key":"2025082804395805000_16.12.e256676.2","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12939"},{"key":"2025082804395805000_16.12.e256676.3","doi-asserted-by":"crossref","DOI":"10.1016\/j.crwh.2020.e00253","article-title":"Pyoderma Gangrenosum in a cesarean section wound in a woman with myelodysplastic syndrome: A case report","volume":"28","author":"Suzuki","year":"2020","journal-title":"Case Rep Womens Health"},{"key":"2025082804395805000_16.12.e256676.4","doi-asserted-by":"crossref","unstructured":"Ye MJ , Ye JM . Pyoderma Gangrenosum: a review of clinical features and outcomes of 23 cases requiring inpatient management. Dermatol Res Pract 2014;2014. doi:10.1155\/2014\/461467","DOI":"10.1155\/2014\/461467"},{"key":"2025082804395805000_16.12.e256676.5","doi-asserted-by":"crossref","first-page":"1216","DOI":"10.1111\/bjd.14037","article-title":"Canakinumab in adults with steroid-refractory Pyoderma Gangrenosum","volume":"173","author":"Kolios","year":"2015","journal-title":"Br J Dermatol"},{"key":"2025082804395805000_16.12.e256676.6","article-title":"Pyoderma Gangrenosum mimicking necrotizing Fasciitis on magnetic resonance imaging: A case report and literature review","volume":"23","author":"Park","year":"2022","journal-title":"Am J Case Rep"},{"key":"2025082804395805000_16.12.e256676.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2016.05.001"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2023-256676","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:40:05Z","timestamp":1756381205000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2023-256676"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12]]},"references-count":7,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2023,12,30]]},"published-print":{"date-parts":[[2023,12]]}},"alternative-id":["10.1136\/bcr-2023-256676"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2023-256676","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2023,12]]}}}