Year 2019 / Volume 111 / Number 5
Letter
Pyogenic granuloma of the duodenum as an unusual cause of gastrointestinal bleeding

410-411

DOI: 10.17235/reed.2019.5977/2018

Marta Cuadros Martínez, Rubén Fernández Martos,

Abstract
Pyogenic granulomas are lobular capillary hemangiomas, usually found on skin and oral mucosa. To date, few cases of pyogenic granuloma of the gastrointestinal tract have been reported, being duodenal involvement extremely rare. We report the case of a patient with a history of long-standing iron deficiency anemia where the endoscopy revealed an oozing redish semipedunculated polypoid lesion in the duodenum with a biopsy specimen consistent with a pyogenic granuloma. The lesion was removed by endoscopic resection, and during the follow-up hemoglobin level was maintained.
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References
1. Korc P, Mchenry L. An Uncommon Cause of Chronic Upper GI Bleeding. Gastrointest Endosc 2016; 84(3):52
2. Meeks MW, Hammami MB, Kamal UM, et al. Pyogenic Granuloma of the Duodenum. J Gastroenterol Hepatol. 2016; 31(7):1235
3. Park S, Park C, Lee W, et al. Pyogenic Granuloma of the Duodenum Treated Successfully by Endoscopic Mucosal Resection. Gut Liver 2009; 3:48–51
4. Romero Mascarell C, García Pagán JC, Araujo IK et al. Pyogenic granuloma in the jejunum successfully removed by single-balloon enteroscopy. Rev Esp Enferm Dig 2017; 109(2):152-154
5. Camacho J, Pereira J, Arenas A. Hemangioma capilar como causa de colestasis extrahepatica. Reporte de caso. Revista Gen 2012; 66(2):130-132
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Cuadros Martínez M, Fernández Martos R. Pyogenic granuloma of the duodenum as an unusual cause of gastrointestinal bleeding. 5977/2018


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Publication history

Received: 14/10/2018

Accepted: 26/10/2018

Online First: 25/04/2019

Published: 07/05/2019

Article Online First time: 193 days

Article editing time: 205 days


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