Recurrent Significant Bleeding From Abdominal Wall Giant Pyogenic Granuloma Requiring Multiple Blood Transfusions

Mohamed Ahmed; Maya Itani; Ramsey Elsayed; Asef Bawahab; Yusef J Buti

doi:10.7759/cureus.28863

Recurrent Significant Bleeding From Abdominal Wall Giant Pyogenic Granuloma Requiring Multiple Blood Transfusions

Cureus. 2022 Sep 6;14(9):e28863. doi: 10.7759/cureus.28863. eCollection 2022 Sep.

Authors

Mohamed Ahmed¹, Maya Itani², Ramsey Elsayed³, Asef Bawahab⁴, Yusef J Buti⁵

Affiliations

¹ Surgery, University of California, Riverside, USA.
² Surgery, Medical University of the Americas, Corona, USA.
³ Surgery, Temecula Valley Hospital, Universal Health Services, SoCal MEC (Southern California Medical Education Consortium), Temecula, USA.
⁴ General Surgery, Universal Health Services, SoCal MEC (Southern California Medical Education Consortium), Temecula, USA.
⁵ Surgery, Universal Health Services, SoCal MEC (Southern California Medical Education Consortium), Temecula, USA.

Abstract

Pyogenic granuloma (PG), also known as lobular capillary hemangioma, is a common benign vascular proliferation of unclear etiology. The proposed etiology includes trauma, infection, and preceding dermatoses. All age groups and both sexes can be affected. It should be differentiated from malignant tumors such as amelanotic melanoma, basal cell carcinoma, and spindle cell tumor. We present a case of recurrent significant bleeding from the abdominal wall mass requiring blood transfusion. Surgical excision is the recommended treatment. The aim of this report is to shed the light on this rare presentation.

Keywords: benign or malignant skin conditions; bleeding risk; indolent skin lesion; pyogenic granuloma; severe anaemia.

Publication types

Case Reports