Aparato Digestivo, Hospital Universitario La Paz, España.
Aparato Digestivo, Hospital Universitario La Paz.
Rev Esp Enferm Dig. 2019 May;111(5):410-411. doi: 10.17235/reed.2019.5977/2018.
Pyogenic granulomas are lobular capillary hemangiomas, usually found on skin and oral mucosa. To date, few cases of pyogenic granuloma of the gastrointestinal tract have been reported, being duodenal involvement extremely rare. We report the case of a patient with a history of long-standing iron deficiency anemia where the endoscopy revealed an oozing redish semipedunculated polypoid lesion in the duodenum with a biopsy specimen consistent with a pyogenic granuloma. The lesion was removed by endoscopic resection, and during the follow-up hemoglobin level was maintained.
化脓性肉芽肿是一种小叶状毛细血管血管瘤，通常发生于皮肤和口腔黏膜。迄今为止，胃肠道化脓性肉芽肿的病例报道较少，而十二指肠受累则极为罕见。我们报告了 1 例长期缺铁性贫血患者，其内镜检查显示十二指肠有 1 个渗出性、微红的半息肉样赘生物，活检标本符合化脓性肉芽肿。该病变通过内镜切除进行了切除，在随访期间血红蛋白水平得以维持。
