Department of Global Medicine and Social Change, Harvard Medical School, Boston, Massachusetts, USA
Ear, Nose and Throat Surgery, Mater Misericordiae Ltd Brisbane, South Brisbane, Queensland, Australia.
BMJ Case Rep. 2023 May 23;16(5):e253199. doi: 10.1136/bcr-2022-253199.
Pyogenic granulomas are benign vascular lesions occurring on skin and mucous membranes, most commonly in the oral cavity.A case report of a woman in her 80s who presented with one episode of haemoptysis, secondary to an atypical epiglottic lesion is discussed. The patient denied associated symptoms, such as dyspnoea, dysphasia or recent weight loss. Flexible nasendoscopy and CT scan confirmed a highly vascular pedunculated mass on the left laryngeal surface of the epiglottis. The lesion was completely excised and there was no sign of recurrence after a 12-month follow-up.This case report represents the fourth documented case of a pyogenic granuloma arising from the epiglottis, resulting in haemoptysis. While rare, there is a significant risk of airway compromise from haemorrhage, which is refractory to pressure and may be difficult to control at this site. Surgery is required to completely excise the lesion and prevent recurrence.
化脓性肉芽肿是一种发生于皮肤和黏膜的良性血管性病变，最常发生于口腔。本文报道了一位 80 多岁的女性患者，因非典型会厌病变导致一次咯血。患者否认有呼吸困难、言语障碍或近期体重减轻等相关症状。软性鼻咽喉镜和 CT 扫描证实会厌左侧有一个高血管性带蒂肿块。病变完全切除，12 个月随访无复发迹象。本病例报告代表了第四例因会厌而发生的化脓性肉芽肿导致咯血的病例。虽然罕见，但出血会显著增加气道阻塞的风险，且此处出血对压迫通常无反应，难以控制。需要手术完全切除病变以预防复发。
