A Case of Pyogenic Granuloma of the Descending Colon

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  • 下行結腸化膿性肉芽腫の1手術症例

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Abstract

The patient was a 53-year-old man who was referred to our hospital with complaint of bloody feces. Colonoscopic study revealed an easy-bleeding subpedunculated protruding tumor of about 15 mm in size in the descending colon, and endoscopic mucosal resection (EMR) was performed. The pathohistological diagnosis was pyogenic granuloma. Bloody feces appeared again when he was being followed as an outpatient and colonoscopy was performed. Relapse in the form of a. protruding tumor of about 20 mm in size was recognized in the part that had been treated by EMR. Due to fear of recurrence, segmental resection of the descending colon was performed. The postoperative pathological diagnosis was again, pyogenic granuloma. Pyogenic granuloma which arises in areas of the intestinal tract other than the oral mucosa is extremely rare. Because of easy bleeding, it is necessary to suspect this as the cause for gastrointestinal bleeding. In addition, careful consideration in selecting the method of treatment is important because it often relapses and the speed of development is comparatively rapid.

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