Taylor Xavia, Fuller Kelly, Patterson Gregory K, Chakka Hima
Archbold Internal Medicine Residency Program, Thomasville, GA.
Philadelphia College of Osteopathic Medicine, Philadelphia, PA.
ACG Case Rep J. 2025 Aug 1;12(8):e01783. doi: 10.14309/crj.0000000000001783. eCollection 2025 Aug.
Pyogenic granulomas (PGs) are benign vascular lesions usually found in the skin and mucous membranes but rarely in the gastrointestinal tract. This case highlights a large PG in the small intestine, causing chronic anemia and serving as a lead point for intussusception. We discuss its diagnostic challenges, potential for misdiagnosis, and treatment options. This case underscores the need for awareness among clinicians regarding atypical presentations of PGs. It also highlights the importance of thorough evaluation in patients with unexplained anemia and intermittent obstruction, ensuring timely diagnosis and appropriate management of this rare gastrointestinal condition.
化脓性肉芽肿（PGs）是一种良性血管病变，通常见于皮肤和黏膜，但很少见于胃肠道。本病例突出了一例发生在小肠的巨大PG，它导致慢性贫血，并成为肠套叠的起始点。我们讨论了其诊断挑战、误诊可能性及治疗选择。本病例强调了临床医生对PG非典型表现的认识需求。它还突出了对不明原因贫血和间歇性肠梗阻患者进行全面评估的重要性，以确保及时诊断并妥善处理这种罕见的胃肠道疾病。
