Clinical and Endoscopic Characteristics of Pyogenic Granuloma in the Small Intestine: A Case Series with Literature Review

Intern Med. 2020 Feb 15;59(4):501-505. doi: 10.2169/internalmedicine.3745-19. Epub 2019 Oct 15.

Abstract

Pyogenic granuloma (PG) generally appears in the skin or oral cavity, but rarely occurs in the small intestine, where it can cause bleeding. To date, only 35 cases of small intestinal PG have been reported in the English literature. We retrospectively collected information from the clinical records of seven cases of small intestinal PG that were managed in our hospital and summarized the characteristics. Further information on the clinical characteristics was obtained from the literature. Capsule endoscopy, useful for identifying the source of hemorrhage in obscure gastrointestinal bleeding, can detect PGs. Treatment can often be accomplished with endoscopic mucosal resection.

Keywords: capsule endoscopy; obscure gastrointestinal bleeding; pyogenic granuloma.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Aged, 80 and over
  • Capsule Endoscopy / methods
  • Female
  • Gastrointestinal Hemorrhage / etiology*
  • Gastrointestinal Hemorrhage / therapy*
  • Granuloma, Pyogenic / complications*
  • Granuloma, Pyogenic / diagnostic imaging*
  • Granuloma, Pyogenic / physiopathology
  • Granuloma, Pyogenic / therapy*
  • Humans
  • Intestine, Small / diagnostic imaging*
  • Intestine, Small / physiopathology*
  • Japan
  • Male
  • Middle Aged
  • Retrospective Studies