BMC gastroenterology · 2015
Rare cause of severe anemia due to pyogenic granuloma in the jejunum.
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Misawa Shun-Ichi, Sakamoto Hiroto, Kurogochi Akira, Kirii Yasushi, Nakamura Shinichiro, Misawa Tomoko, Yoneda Suguru, Hirano Mari, Owa Osamu, Takagi Hiroyuki, Ota Hiroyoshi
Аннотация
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.
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.