Pyoderma gangrenosum (PG) is a non-infectious inflammation of unknown cause, which includes dysregulation of the autoimmune system. This disease can be caused by minor trauma, and associated with systemic diseases. An elderly man who had a history of myelodysplastic syndrome and Caldwell-Luc operation presented with right facial swelling. Noncontrast sinus CT showed no evidence of mass in his face, however, his facial swelling was not improved with antibiotics therapy. To rule out the postoperative cheek cyst, we tried to aspirate his anterior cheek.
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