Postoperative Pyoderma Gangrenosum is a rare, tricky and cruel, in case of late di-agnosis life-threatening complication. Once diagnosed medical treatment using im-munosuppressive agents can rapidly stop progression. Preceding repeated debride-ment often leads to skin defects requiring plastic surgical procedures. Extensive de-bridement performed in misbelieve may cause deep skin and soft tissue defects, re-quiring not only skin grafting but also flap surgery. Deep soft tissue defects with ex-posed bone interacting with essential immunosuppressive condition and preceding long-lasting hospital stay, especially in intensive care units and systemic antimicro-bial therapy may be complicated by serious aquired multi drug-resistant Acinetobac-ter baumanii infection. This is the report of a case of an unhappy triad following breast reconstruction. - Postsurgical Pyoderma Gangrenosum - full thickness thoracic wall defect- and Multiresistant Acinetobacter baumannii infection. Interdisciplinary therapy using free flap surgery and the use of innovative wound treatement systems (V.A.C. Instill®) enabled survival and complete wound closure.
Major Complication after Breast-Reconstruction
Grohmann, M. (Author). 2011
Student thesis: Diploma thesis