Surgery for Pyodermia fistulans sinifica to circumvent heart transplantation (Case Report)

Upon presentation, the patient demonstrated clear signs of soft tissue infection in the axillary a), inguinal, genital and gluteal (b) regions consistent with Hidradenitis suppurativa.

Posteroanterior chest x-rays of the patient. a) Upon presentation, b) One month after excision and skin grafting of the involved areas.

Intraoperative pictures of the anogenital (a) and axillar region (b) after radical debridement and vacuum assisted therapy prior to split-thickness skin grafting.

a) genital region, b) axilla at 18 months postoperatively.