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  • Title: [Gangrenous pyoderma and enterocutaneous fistulas after ileal pouch-anal anastomosis].
    Author: Fadrique AG, Ferrer FV, Esteban MB, Vila JV.
    Journal: Cir Esp; 2007 May; 81(5):279-81. PubMed ID: 17498458.
    Abstract:
    We describe the medical-surgical management of a patient with a complex inflammatory bowel disease who developed 2 acute episodes of pyoderma gangrenosum and enterocutaneous fistulas after ileal pouch-anal anastomosis for ulcerative colitis. The rarity of this postsurgical complication is emphasized. A good response to topical tacrolimus was achieved in cutaneous wounds. A less favorable response to infliximab was achieved in the abdominal fistulas, requiring surgical excision of the pouch.
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