Pyogenic Granuloma of the Colon in Children

Blanchard, Samra; Chelimsky, Gisela; Czinn, Steven J.; Redline, Raymond W.; Splawski, Judy B.

doi:10.1097/01.mpg.0000189372.24073.ba

Cited by 9 publications

(6 citation statements)

References 11 publications

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“…The clinical presentation of the GI tract PG depends on its site [4]. Gastrointestinal bleeding is the most common presenting symptom (in 34.55% of cases) [3,11,18,19,21,23,24,26]. Overt GI bleeding was the most common clinical presentation in our series, and gastric PG should be considered a source of hemorrhage in patients presenting with overt GI bleeding or iron deficiency anemia.…”

Section: Discussionmentioning

confidence: 93%

“…To our knowledge, approximately 65 cases of PG in the alimentary tract (other than in the oral mucosa) have been published in the literature. The reports have described 19 cases of PG in the esophagus [10–14]; five cases in the stomach; 20 cases in the small intestine [10,11,14–18]; 19 cases in the colon [10,19–25]; one case in an unidentified area of the alimentary tract [26]; and one case in the common bile duct [1]. The patients' ages ranged from 1.5 years to 82 years (mean age, 49.97 years) and 56.36% of the patients were male.…”

Section: Discussionmentioning

confidence: 99%

“…Complete excision is reportedly the optimal management for GI tract PG [4,29]. Endoscopic resection is the most favorable treatment for GI tract PG and has been reported in 63.33% of patients [3–7,10,12–19,21,23,24]. Only one patient developed perforation at the site of polypectomy and then underwent surgical repair; however, he recovered and was discharged 5 days later [23].…”

Section: Discussionmentioning

confidence: 99%

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Clinical and endoscopic features of gastric pyogenic granuloma

Lin

Hsieh

Hsu

et al. 2014

Adv in Digestive Medicine

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Background: Pyogenic granuloma (PG) is a polypoid form of capillary hemangioma. This study aimed to analyze the clinical and endoscopic features of gastric PG. Methods: We retrospectively reviewed nine patients with gastric PGs who were evaluated by esophagogastroduodenoscopy and diagnosed by pathological study at the Chang Gung Medical Center (Taoyuan, Taiwan) between 2000 and 2009. Demographic data, clinical presentations, endoscopic findings, treatment, and outcome were collected and analyzed. Results: The median age of the study patients was 62 years (range, 40e73 years) with a female preponderance. The most common symptom at presentation was overt gastrointestinal bleeding, followed by anemia and epigastralgia. Two patients were asymptomatic at diagnosis. The most common underlying diseases were liver cirrhosis [5 (56%) patients] and hypertension [5 (56%) patients]. Five (56%) cases of gastric PGs originated at the site of prior ulcer lesions. Most gastric PGs were solitary [7 (78%) patients] and located in the antrum [8 (89%) patients]. The gastric PGs typically appeared morphologically as smooth protruding hyperemic lesions with adherent white or yellow deposits. One patient received an endoscopic mucosal resection with complete excision of the lesion. Another patient received surgical intervention. Four gastric PG lesions were stationary or regressed with conservative management. Conclusion: Overt gastrointestinal bleeding was the most common clinical presentation in patients with gastric PG. Gastric ulcers were the most common precursors of PG with the antrum being the most frequent site involved. Gastric PGs were characteristically protruding hyperemic lesions with adherent exudates. Conservative treatment may be considered for

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Clinical and endoscopic features of gastric pyogenic granuloma

Lin

Hsieh

Hsu

et al. 2014

Adv in Digestive Medicine

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“…The locations of pyogenic granuloma were as follows: 14 in the esophagus, 3-10 2 in the stomach, 10,11 1 in the duodenum, 12 1 in the jejunum, 13 7 in the ileum, 7,10,13-15 and 10 in the colon. 10,13,[16][17][18][19] Pyogenic granulomas range in color from dark red to fresh sanguine. Although the surface is usually smooth, it tends to be friable, hemorrhagic, and accompanied by erosion and ulcers, and it sometimes ex- ibits pyogenic exudates.…”

Section: Discussionmentioning

confidence: 99%

Pyogenic Granuloma of the Duodenum Treated Successfully by Endoscopic Mucosal Resection

Park

Park²,

Lee³

et al. 2009

Gut Liver

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Fig. 1. Upper-duodenum endoscopic findings. A 10-mm-diameter semipedunculated strawberry-like lesion with a whitish exudate evident in the second portion of the duodenum.Pyogenic granuloma is a lobular capillary hemangioma that occurs mostly on the skin and the mucosal surfaces of the oral cavity and tongue. Only a few cases in other parts of the digestive tract have been reported. Gastrointestinal pyogenic granuloma is a rare cause of hemorrhage in the digestive tract, but should be considered in the differential diagnosis of patients with gastrointestinal bleeding. We report the case of a 62-year-old anemic woman found to have a pyogenic granuloma of the duodenum, which was treated adequately by endoscopic mucosal resection.

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“…The term pyogenic granuloma (PG) is a misnomer, and lobular capillary hemangioma is the currently preferred term [ 1 - 3 ]. PG is a benign lesion that occurs on skin and mucosal surfaces of the proximal aero-digestive tracts, but has also been reported to occur subcutaneously, intravenously, in the small bowel, colon and rectum and on burn scars [ 4 - 6 ]. Although cutaneous PG may present as multiple lesions and necrosis, invasion of surrounding tissues is never seen.…”

Section: Introductionmentioning

confidence: 99%

Giant pyogenic granuloma of the thigh: a case report

Nthumba

2008

J Med Case Reports

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IntroductionPyogenic granuloma or lobular capillary hemangioma remains an etiopathological enigma, with trauma, inflammatory and infectious agents being the commonest suspected causative agents. These lesions affect mucous membranes of the upper aero-digestive tract, and skin. HIV patients diagnosed with pyogenic granuloma present with multiple lesions, caused by Bartonella spp.Case presentationA 28-year-old woman presented with a solitary large tumor on a skin graft donor site on her left thigh. On excision and histological examination the tumor was found to be a lobular capillary hemangioma (pyogenic granuloma). Further investigation in search of a possible explanation for this unusual presentation revealed HIV infection as the underlying cause.ConclusionThis report underscores the fact that the full spectrum of presentation of HIV infection is still unknown. Unusual or unexpected presentations should arouse suspicion of underlying immunosuppression, especially in HIV endemic areas.

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Pyogenic Granuloma of the Colon in Children

Cited by 9 publications

References 11 publications

Clinical and endoscopic features of gastric pyogenic granuloma

Clinical and endoscopic features of gastric pyogenic granuloma

Pyogenic Granuloma of the Duodenum Treated Successfully by Endoscopic Mucosal Resection

Giant pyogenic granuloma of the thigh: a case report

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