Intestinal intussusception and progressive anemia due to pyogenic granuloma of the ileum: a case report

Abstract Background Pyogenic granuloma is a benign vascular tumor, usually occurring on the skin or in the oral cavity. Small intestinal pyogenic granuloma is extremely rare, but intestinal intussusception due to the tumor is even rarer. Only 3 cases have been reported in the English literature at t...

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Main Authors: Kodai Nagakari, Akikazu Yago, Yu Ohkura, Daisuke Tomita, Shusuke Haruta, Yutaka Takazawa, Masaki Ueno
Format: Article
Language:English
Published: Japan Surgical Society 2021-04-01
Series:Surgical Case Reports
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Online Access:https://doi.org/10.1186/s40792-021-01170-2
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author Kodai Nagakari
Akikazu Yago
Yu Ohkura
Daisuke Tomita
Shusuke Haruta
Yutaka Takazawa
Masaki Ueno
author_facet Kodai Nagakari
Akikazu Yago
Yu Ohkura
Daisuke Tomita
Shusuke Haruta
Yutaka Takazawa
Masaki Ueno
author_sort Kodai Nagakari
collection DOAJ
description Abstract Background Pyogenic granuloma is a benign vascular tumor, usually occurring on the skin or in the oral cavity. Small intestinal pyogenic granuloma is extremely rare, but intestinal intussusception due to the tumor is even rarer. Only 3 cases have been reported in the English literature at this writing. Case presentation An 86-year-old woman presented with abdominal pain and vomiting. Laboratory data discovered anemia. Contrast-enhanced computed tomography revealed small bowel obstruction due to intestinal intussusception. After decompression by long tube for 1 week, the obstruction did not improve and the anemia got worse. Therefore, laparoscopic assisted small bowel resection was performed as a diagnostic therapy. Pathology confirmed the diagnosis of pyogenic granuloma. The postoperative course was uneventful and the patient was discharged 10 days after surgery. Conclusions We experienced a case of intestinal intussusception and progressive anemia due to pyogenic granuloma of the ileum. Although the condition is extremely rare, surgeons must take into consideration the tumor in similar cases, and complete surgical resection is required.
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publishDate 2021-04-01
publisher Japan Surgical Society
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series Surgical Case Reports
spelling doaj-art-20b1008befd04007a2c7e9c607a661002025-08-20T03:33:17ZengJapan Surgical SocietySurgical Case Reports2198-77932021-04-01711410.1186/s40792-021-01170-2Intestinal intussusception and progressive anemia due to pyogenic granuloma of the ileum: a case reportKodai Nagakari0Akikazu Yago1Yu Ohkura2Daisuke Tomita3Shusuke Haruta4Yutaka Takazawa5Masaki Ueno6Department of Gastroenterological Surgery, Toranomon HospitalDepartment of Gastroenterological Surgery, Toranomon HospitalDepartment of Gastroenterological Surgery, Toranomon HospitalDepartment of Gastroenterological Surgery, Toranomon HospitalDepartment of Gastroenterological Surgery, Toranomon HospitalDepartment of Gastroenterological Surgery, Toranomon HospitalDepartment of Gastroenterological Surgery, Toranomon HospitalAbstract Background Pyogenic granuloma is a benign vascular tumor, usually occurring on the skin or in the oral cavity. Small intestinal pyogenic granuloma is extremely rare, but intestinal intussusception due to the tumor is even rarer. Only 3 cases have been reported in the English literature at this writing. Case presentation An 86-year-old woman presented with abdominal pain and vomiting. Laboratory data discovered anemia. Contrast-enhanced computed tomography revealed small bowel obstruction due to intestinal intussusception. After decompression by long tube for 1 week, the obstruction did not improve and the anemia got worse. Therefore, laparoscopic assisted small bowel resection was performed as a diagnostic therapy. Pathology confirmed the diagnosis of pyogenic granuloma. The postoperative course was uneventful and the patient was discharged 10 days after surgery. Conclusions We experienced a case of intestinal intussusception and progressive anemia due to pyogenic granuloma of the ileum. Although the condition is extremely rare, surgeons must take into consideration the tumor in similar cases, and complete surgical resection is required.https://doi.org/10.1186/s40792-021-01170-2Pyogenic granulomaIntestinal intussusceptionSmall bowel obstruction
spellingShingle Kodai Nagakari
Akikazu Yago
Yu Ohkura
Daisuke Tomita
Shusuke Haruta
Yutaka Takazawa
Masaki Ueno
Intestinal intussusception and progressive anemia due to pyogenic granuloma of the ileum: a case report
Surgical Case Reports
Pyogenic granuloma
Intestinal intussusception
Small bowel obstruction
title Intestinal intussusception and progressive anemia due to pyogenic granuloma of the ileum: a case report
title_full Intestinal intussusception and progressive anemia due to pyogenic granuloma of the ileum: a case report
title_fullStr Intestinal intussusception and progressive anemia due to pyogenic granuloma of the ileum: a case report
title_full_unstemmed Intestinal intussusception and progressive anemia due to pyogenic granuloma of the ileum: a case report
title_short Intestinal intussusception and progressive anemia due to pyogenic granuloma of the ileum: a case report
title_sort intestinal intussusception and progressive anemia due to pyogenic granuloma of the ileum a case report
topic Pyogenic granuloma
Intestinal intussusception
Small bowel obstruction
url https://doi.org/10.1186/s40792-021-01170-2
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