Pyoderma gangrenosum in a cesarean section wound in a woman with myelodysplastic syndrome: A case report

• Published in: Case reports in women's health 2020, Vol.28, p.e00253-e00253
• Main Authors: Suzuki, Nanao, Murata, Tsuyoshi, Fukuda, Toma, Kanno, Aya, Kyozuka, Hyo, Yasuda, Shun, Yamaguchi, Akiko, Fujimori, Keiya
• Format: Report
• Language: English
• ISSN: 2214-9112
• DOI: 10.1016/j.crwh.2020.e00253

INTRODUCTIONPyoderma gangrenosum and myelodysplastic syndrome in pregnant women are both very rare, but can coexist. Here, we present a case of pyoderma gangrenosum in a cesarean section wound in a woman with myelodysplastic syndrome. CASEA 34-year-old woman presented with thrombocytopenia and macrocytic anemia during pregnancy. The pregnancy was uneventful until 36 weeks of gestation, when premature rupture of membranes occurred and a cesarean section was performed for breech presentation. She presented four days later with redness and blisters at the wound site. Surgical site infection was diagnosed but did not improve with antibiotics, and multiple wound cultures were negative. Skin biopsy indicated pyoderma gangrenosum, and the redness and blisters responded to oral prednisolone. Post-partum bone marrow aspiration showed myelodysplastic syndrome. As the patient demonstrated no symptoms such as abnormal bleeding, no additional treatment was started, and she went on to receive regular follow-up for myelodysplastic disorder. DISCUSSIONThis case shows the need for further assessment of hematological disorders diagnosed in pregnancy in women with pyoderma gangrenosum post-partum.