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DOI: 10.1055/s-0040-1704144
PYOGENIC GRANULOMA (PG): UN UNCOMMON CAUSE OF IRON DEFICIENCY ANAEMIA DIAGNOSED AND TREATED BY DOUBLE-BALLOON ENTEROSCOPY (DBE) (WITH VIDEO)
Publication History
Publication Date:
23 April 2020 (online)
Pyogenic granuloma (PG) is a rare cause of obscure gastrointestinal bleeding. Histopathologically is characterised by proliferation of capillary vessels and granulation tissue while pathogenesis is unclear.
A 59-year-old man with iron-deficiency anaemia was referred to our institution. Small bowel capsule endoscopy showed a large vascular malformation within the jejunum. At double-balloon enteroscopy (DBE) two reddish polypoid lesions in keeping with PGs were identified. Endoscopic mucosal resection (EMR) was performed successfully. Endoclips were placed to reduce delayed-bleeding risk. Histopathology report confirmed initial endoscopic diagnosis.
DBE facilitated endotherapy is a precise, safe and minimally invasive management of PGs in the small bowel.