A rare case of pyogenic granuloma of the jejunum causing gastrointestinal bleeding

• DOI: 10.1007/s12328-020-01187-4
• Publication Date: 2020-07-30T17:20:52Z
• Authors: Seitaro Ikeoka; Tetsuya Yoshizaki; Tatsuya Matsuda; Norio Katayama; Masanori Matsumoto; Megumi Takagi; Kenji Momose; Takaaki Eguchi; Toshiyuki Morisawa; Akihiko Okada
• Keywords: Melena; Pyogenic granuloma; Gastrointestinal bleeding; Enteroscopy; Jejunum

Pyogenic granulomas (PG) are lobular capillary hemangiomas mostly found in the mucous membranes of the skin and oral cavity, and rarely occur in the gastrointestinal tract. Here we describe a case of an 84-year-old patient with alcoholic cirrhosis who presented with persistent melena and progressive anemia. Endoscopy showed esophageal varices and he underwent endoscopic variceal ligation (EVL) with transient resolution of anemia. However, due to worsening anemia, he underwent capsule endoscopy that revealed a bleeding tumor in the small intestine. We performed double-balloon endoscopy and found a 7-mm polyp with a white coat located in the jejunum and resected it at a later date. Histological characteristics led to the diagnosis of PG, and the patient's melena and anemia subsequently improved.