Rare cause of severe anemia due to pyogenic granuloma in the jejunum

BMC Gastroenterol. 2015 Oct 6:15:126. doi: 10.1186/s12876-015-0355-6.

Abstract

Background: Pyogenic granuloma (PG) is a polypoid lobular capillary hemangioma rarely observed in the gastrointestinal tract. Only a few cases in the small bowel have been described in the literature.

Case presentation: A 58-year-old man had been suffering from general fatigue and severe anemia. Esophagogastroduodenoscopy and colonoscopy did not reveal any significant bleeding. Abdominal computer tomography revealed a hypervascular tumor in the small intestine. Oral double-balloon endoscopy (DBE) detected a polypoid lesion (2 cm in diameter) in the jejunum. We performed laparoscopic-assisted partial resection of the jejunum. The histological features of the tumor were consistent with PG. The patient's anemia gradually improved without the need for oral iron after surgery.

Conclusion: In this case report, we present a case of pyogenic granuloma in in the jejunum that was detected by DBE.

Publication types

  • Case Reports

MeSH terms

  • Anemia / etiology*
  • Colonoscopy / methods
  • Double-Balloon Enteroscopy
  • Endoscopy, Digestive System
  • Granuloma, Pyogenic / complications*
  • Granuloma, Pyogenic / diagnosis
  • Granuloma, Pyogenic / surgery
  • Humans
  • Intestinal Neoplasms / complications
  • Jejunal Diseases / complications*
  • Jejunal Diseases / diagnosis
  • Jejunal Diseases / surgery
  • Male
  • Middle Aged
  • Neoplasms, Vascular Tissue / complications