Three Cases of Pyogenic Granuloma of the Gastrointestinal Tract

2019 ◽  
Vol 152 (Supplement_1) ◽  
pp. S119-S119
Author(s):  
Yukihiro Nakanishi ◽  
Preeti Behl ◽  
Byron Crawford
Keyword(s):  
Gastrointestinal Tract ◽  
Pyogenic Granuloma ◽  
Right Hemicolectomy ◽  
Capillary Hemangioma ◽  
Deficiency Anemia ◽  
Significant Drop ◽  
Massive Gastrointestinal Bleeding ◽  
History Of ◽  
Mixed Inflammatory Infiltrate ◽  
Pedunculated Polyp

Abstract Pyogenic granuloma also known as lobular capillary hemangioma occurs commonly in the skin and oral mucosa. This entity has been rarely reported in the gastrointestinal tract. We herein report three cases of pyogenic granuloma, located in the duodenum, ileum, and rectum, respectively. Case 1 is a 54-year-old female with a history of angioimmunoblastic T-cell lymphoma who underwent an esophagogastroduodenoscopy for severe heartburn. The endoscopy showed a 13-mm nonbleeding, pedunculated polyp in the second portion of duodenum, which was removed using a hot snare after injection of epinephrine. The patient had an episode of massive gastrointestinal bleeding postpolypectomy, with a significant drop of her hemoglobin, which was managed with blood transfusion. Case 2 is a 68-year-old male with a history of right hemicolectomy due to trauma who had a colonoscopy for chronic diarrhea. The colonoscopy revealed a 14-mm, nonbleeding, pedunculated polyp in the ileum, located 3 cm from the ileocolonic anastomosis. The polyp was removed with hot snare, without complications. Case 3 is a 44-year-old female with morbid obesity who underwent a colonoscopy for iron-deficiency anemia. The colonoscopy showed an 8-mm multilobulated sessile lesion in the distal rectum, which was completely removed using hot snare. No complications were seen postpolypectomy. Histological examination of all the three polyps showed a proliferation of capillary-sized blood vessels with a mixed inflammatory infiltrate, resembling granulation tissue. Additionally, the ileal polyp in our case had marked eosinophilic infiltrate, the etiology of which remains unknown. In conclusion, pyogenic granuloma, given its vascular nature, can be a cause of bleeding in the gastrointestinal tract. Awareness regarding this rare entity is important for its proper diagnosis and treatment.

scholarly journals Gastrointestinal Pyogenic Granuloma (Lobular Capillary Hemangioma): An Underrecognized Entity Causing Iron Deficiency Anemia

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Marshall W. Meeks ◽  
Umar M. Kamal ◽  
Muhammad B. Hammami ◽  
Jason R. Taylor ◽  
M. Louay Omran ◽  
...  
Keyword(s):  
Gastrointestinal Tract ◽  
Iron Deficiency ◽  
Case Series ◽  
Pyogenic Granuloma ◽  
Vascular Tumor ◽  
Capillary Hemangioma ◽  
Deficiency Anemia ◽  
Review Of The Literature ◽  
Lobular Capillary Hemangioma ◽  
Actual Incidence

Pyogenic granuloma (PG), more accurately known as lobular capillary hemangioma, is a benign vascular tumor that usually occurs in the skin or oral mucosa. This lesion is rarely reported in the gastrointestinal tract but is known to bleed if not resected. We herein describe a case series with the clinical, endoscopic, and histologic findings of four cases of gastrointestinal PG at our institution. In addition, we provide a review of the literature and summation of all reported cases of PG specific to the gastrointestinal tract. Based on our experience, we suggest that the actual incidence of gastrointestinal PG may in fact be higher than reported because PG can be unrecognized or improperly diagnosed. It is important for the clinician to properly recognize this lesion as a source of anemia and its propensity to bleed during biopsy or resection.

scholarly journals Pyogenic Granuloma of Nasal Septum

2011 ◽  
Vol 4 (3) ◽  
pp. 163-165
Author(s):  
Anuja Santosh Kulkarni
Keyword(s):  
Oral Cavity ◽  
Nasal Obstruction ◽  
Male Patient ◽  
Nasal Septum ◽  
Pyogenic Granuloma ◽  
Capillary Hemangioma ◽  
Clinical Entity ◽  
Lobular Capillary Hemangioma ◽  
Uncommon Presentation ◽  
History Of

ABSTRACT Pyogenic granuloma also known as lobular capillary hemangioma is although rare but well-documented clinical entity. However, it is more commonly reported in cases pertaining to lesions of oral cavity and especially in female patients during pregnancy usually in third decade of life. But, here we report a very uncommon presentation of pyogenic granuloma arising from nasal septum in a 52-year-old male patient who presented to us with history of epistaxis and left-sided nasal obstruction since 4 months.

scholarly journals A Case Report of Subacute Thyroiditis following mRNA COVID-19 Vaccine

2021 ◽  
Vol 2021 ◽  
pp. 1-3
Author(s):  
Leidy Plaza-Enriquez ◽  
P. Khatiwada ◽  
M. Sanchez-Valenzuela ◽  
A. Sikha
Keyword(s):  
Right Hemicolectomy ◽  
Subacute Thyroiditis ◽  
Deficiency Anemia ◽  
Paroxysmal Supraventricular Tachycardia ◽  
Lumbar Radiculopathy ◽  
Past Medical History ◽  
Anterior Neck ◽  
Case Presentation ◽  
Pain Medications ◽  
History Of

Background. Subacute thyroiditis has been reported after administration of influenza vaccine. We describe a case of a patient who developed subacute thyroiditis after administration of. Moderna mRNA COVID-19 vaccine. Case Presentation. A 42-year-old female, with a past medical history of stage IIIB pT3N1aM0 right adenocarcinoma of colon status, after right hemicolectomy on 01/2020, followed by adjuvant chemotherapy, paroxysmal supraventricular tachycardia, iron deficiency anemia, chemotherapy-induced neuropathy, and lumbar radiculopathy, presented to our clinic with anterior neck pain that started 6 days after the second dose of Moderna mRNA COVID-19 vaccine. She was diagnosed with subacute thyroiditis and treated conservatively with pain medications. Conclusion. Subacute thyroiditis could represent one of the side effects of Moderna mRNA COVID-19 vaccine. Further reports are lacking.

scholarly journals Cápsula endoscópica para el diagnóstico de metástasis de melanoma en intestino delgado, reporte de dos casos y revisión de la literatura

2020 ◽  
Vol 50 (1) ◽  
Author(s):  
Hugo Cedron Cheng ◽  
Josué Aliaga Ramos
Keyword(s):  
Gastrointestinal Tract ◽  
Malignant Melanoma ◽  
Small Bowel ◽  
Iron Deficiency ◽  
Iron Deficiency Anemia ◽  
Capsule Endoscopy ◽  
Deficiency Anemia ◽  
Bowel Involvement ◽  
History Of

Malignant melanoma is the neoplasm that most frequently produces metastasis at the gastrointestinal tract. Metastatic lesions can be found in the small bowel in 50 to 60% of the necropsies of patients who die due to malignant melanoma; however, the diagnosis of metastasis in vivo is achieved in less than 10% of patients with this clinical entity. The capsule endoscopy is considered an excellent non-invasive diagnostic method for the evaluation of the small bowel in this group of patients. All patients with melanoma history and gastrointestinal tract hemorrhage, iron deficiency anemia, abdominal pain and / or unexplained weight loss should perform an capsule endoscopy to rule out small bowel involvement. We present two patients with cutaneous melanoma with apparent remission who develop iron-deficiency anemia, without a history of evident gastrointestinal bleeding with negative endoscopic examinations and capsule endoscopy findings of intestinal metastasis due to melanoma.

scholarly journals Rare cause of massive gastrointestinal bleeding. A case of metastatic melanoma

2019 ◽  
Vol 65 (2) ◽  
Author(s):  
Krzysztof Dąbkowski ◽  
Karolina Michalska ◽  
Natalia Rusiniak-Rossińska ◽  
Andrzej Białek ◽  
Katarzyna Kołaczyk ◽  
...  
Keyword(s):  
Gastrointestinal Tract ◽  
Gastrointestinal Bleeding ◽  
Metastatic Melanoma ◽  
Hypovolemic Shock ◽  
Advanced Melanoma ◽  
Benign Lesions ◽  
Abdominal Symptoms ◽  
Melanoma Metastases ◽  
Massive Gastrointestinal Bleeding ◽  
History Of

The case of a 76-year-old patient, with a history of melanoma, admitted to the department of gastroenterology with symptoms of hypovolemic shock, caused by massive  gastrointestinal bleeding. Clot-covered melanoma metastases were detected in both gastroduodenoscopy and colonoscopy. Gastrointestinal melanoma metastases are found in the majority of patients with advanced melanoma during autopsy; however, they are rarely detected in intravital studies and can be misdiagnosed as other benign lesions in endoscopy. In cases of patients with history of melanoma, metastases should be considered as the cause of non-specific abdominal symptoms, anemia, or bleeding from the gastrointestinal tract.

scholarly journals Tapering body stiffness shortens upper gastrointestinal examination via transoral insertion with ultrathin endoscope

2020 ◽  
Vol 08 (12) ◽  
pp. E1748-E1753
Author(s):  
Satoshi Ono ◽  
Shun Ito ◽  
Kyohei Maejima ◽  
Shosuke Hosaka ◽  
Kiyotaka Umeki ◽  
...  
Keyword(s):  
Gastrointestinal Tract ◽  
Past History ◽  
Insertion Time ◽  
Trade Off ◽  
Examination Time ◽  
Total Examination Time ◽  
History Of ◽  
Food Residues ◽  
Gastrointestinal Examination ◽  
Upper Gastrointestinal

Abstract Background and study aims Ultrathin endoscopes are commonly used for surveillance esophagogastroduodenoscopy (EGD) to reduce discomfort associated with scope insertion. However, the flexibility of an ultrathin endoscope is a trade-off between reducing discomfort and lengthening examination time. Patients and methods The EG17-J10 (EG17) is a novel ultrathin endoscope characterized by its tapering body stiffness; however, the flexibility of its tip is comparable to that of the traditional ultrathin endoscope EG16-K10 (EG16). We compared EGD examination time between EG17 and EG16. A total of 319 examinees who underwent EGD from November 2019 to January 2020 at the Chiba-Nishi General Hospital were enrolled. Six examinees were excluded due to past history of surgical resection of the upper gastrointestinal tract or too much food residues; 313 examinees (EG17, 209; EG16,104) were retrospectively analyzed. The examination time was divided into three periods: esophageal insertion time (ET), gastroduodenal insertion time (GDT), and surveillance time of the stomach (ST). The total amount of ET, GDT, and ST was defined as total examination time (TT). Results TT of EGD using EG17 was significantly shorter compared to EGD using EG16 (222.7 ± 68.9 vs. 245.7 ± 78.5 seconds) (P = 0.004). Among the three periods of examination time, ET (66.7 ± 24.1 vs. 76.0 ± 24.1 seconds) (P = 0.001) and GDT (47.9 ± 17.4 vs. 55.2 ± 35.2 seconds) (P = 0.007) of EGD using EG17 were significantly shorter compared to EGD using EG16, except for ST (108.1 ± 51.5.1 vs. 114.5 ± 50.1 seconds) (P = 0.148). Conclusion An ultrathin endoscope with tapering body stiffness can shorten EGD examination time, mainly due to the shortening of insertion time.

Parotid Duct Sialolithiasis in a Dog

2007 ◽  
Vol 43 (1) ◽  
pp. 45-51 ◽  
Author(s):  
Brian J. Trumpatori ◽  
Kyleigh Geissler ◽  
Kyle G. Mathews
Keyword(s):  
Computed Tomography ◽  
Inflammatory Infiltrate ◽  
Surgical Excision ◽  
Histological Evaluation ◽  
Parotid Duct ◽  
Facial Swelling ◽  
History Of ◽  
Mixed Inflammatory Infiltrate ◽  
Glandular Atrophy ◽  
English Bulldog

Computed tomography was used to evaluate a 7-year-old English bulldog with a history of facial swelling and to aid in the diagnosis of parotid duct sialolithiasis. Removal of the sialolith with repair of the duct was not possible because of ductal fibrosis. Histological evaluation revealed glandular atrophy and fibrosis with lymphoplasmacytic inflammation. The parotid duct was ulcerated and fibrotic, with a mixed inflammatory infiltrate. Surgical excision of the parotid duct and salivary gland was curative.

scholarly journals Metastatic Melanoma Presenting as Intussusception in an 80-Year-Old Man: A Case Report

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Sarah Alghamdi ◽  
Yumna Omarzai
Keyword(s):  
Differential Diagnosis ◽  
Small Intestine ◽  
Gastrointestinal Tract ◽  
Metastatic Melanoma ◽  
Clinical Presentation ◽  
Gastrointestinal Symptoms ◽  
Common Site ◽  
Neoplastic Process ◽  
History Of ◽  
Uncommon Neoplasm

Malignant melanoma of the gastrointestinal tract is an uncommon neoplasm that could be primary or metastatic. Small intestine represents the most common site for the metastatic melanoma; however, it could be found anywhere in the gastrointestinal tract. Intussusception is a rare cause of intestinal obstruction in adults compared to children. In 90% of the cases, the underlying cause can be found, and in 65% of the cases, intussusception is caused by the neoplastic process. The majority of the neoplasms are benign, and about 15% are malignant. Metastatic melanoma is one of the most common metastatic malignancies to the gastrointestinal tract; however, the premortem diagnosis is rarely made. Here, we report an uncommon clinical presentation of metastatic melanoma causing intussusception in an 80-year-old man. This diagnosis should be considered in a differential diagnosis in any patient who presents with gastrointestinal symptoms and a history of melanoma.

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