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A: The C-section wound with pustular edges and violaceous borders (7th day postpartum). B: The abdominal wound dehiscence after multiple debridement's (19th day postpartum). Wound edges are violaceous with a pustular bulla on the lower right abdomen, surrounded by diffuse erythema.
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Partial opening of the wound confirmed an intact abdominal fascia (Fig. 1a). On 19th day post-partum, the abdominal wound edges once again showed dehiscence with signs of necrosis (Fig. 1b).
A: The abdominal wound with NPWT-system in situ (20th day postpartum). B: New ulceration around the left and right paracolic drains is visible (22nd day postpartum).
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The drain entry wounds showed no signs of inflammation (Fig. 2a). However, two days later, the drain entry wounds showed newly formed purulent ulcers (Fig. 2b), which were not related to the necrotic tissue around the abdominal wound.
The abdomen after abdominoplasty, 3 months postpartum.
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T-cell inhibitor (Cyclosporine-A 5 mg/kg), and the corticosteroid dose reduced. Twelve weeks' post-partum, the patient underwent abdominoplasty (Fig. 3) under immunosuppressive treatment.