Pyogenic Granuloma of the Jejunum: An Uncommon Cause of Obscure Gastrointestinal Bleeding

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  • Okawara Kazuma
    Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University
  • Mizuuchi Yusuke
    Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University
  • Shimada Yuki
    Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University
  • Yamamoto Takeo
    Department of Anatomic Pathology, Pathological Sciences, Graduate School of Medical Sciences, Kyushu University
  • Sada Masafumi
    Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University
  • Nagayoshi Kinuko
    Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University
  • Nagai Shuntaro
    Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University
  • Koga Yutaka
    Department of Anatomic Pathology, Pathological Sciences, Graduate School of Medical Sciences, Kyushu University
  • Torisu Takehiro
    Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University
  • Nakata Kohei
    Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University
  • Ohuchida Kenoki
    Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University
  • Oda Yoshinao
    Department of Anatomic Pathology, Pathological Sciences, Graduate School of Medical Sciences, Kyushu University
  • Nakamura Masafumi
    Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University

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Other Title
  • 貧血の精査で発見された空腸pyogenic granulomaの1例

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<p>A 61-year-old woman with a complaint of anemia presented with a flat elevated lesion located in the middle jejunum accompanied by an ulcer at the top of the lesion on oral double-balloon endoscopy. She underwent laparoscopic resection of the jejunum. Pathological findings showed inflammatory cell infiltration and partially lobulated and mildly ectatic capillaries, indicating pyogenic granuloma. Iron deficiency anemia was improved after the operation. Pyogenic granuloma is granulomatous hemangioma that is generally seen in the skin and oral cavity, but rarely in the digestive tract. Pyogenic granuloma can cause obscure gastrointestinal bleeding because it is hemorrhagic.</p>

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