American Journal of Medical Case Reports
ISSN (Print): 2374-2151 ISSN (Online): 2374-216X Website: http://www.sciepub.com/journal/ajmcr Editor-in-chief: Samy, I. McFarlane
Open Access
Journal Browser
Go
American Journal of Medical Case Reports. 2016, 4(5), 165-167
DOI: 10.12691/ajmcr-4-5-5
Open AccessCase Report

Pyogenic Granuloma of the Urinary Bladder: A Rare Entity

Paul Vincent D1,

1MIMS Hopsital, Kottakkal, Malappuram, Kerala 676503, India

Pub. Date: May 19, 2016

Cite this paper:
Paul Vincent D. Pyogenic Granuloma of the Urinary Bladder: A Rare Entity. American Journal of Medical Case Reports. 2016; 4(5):165-167. doi: 10.12691/ajmcr-4-5-5

Abstract

Introduction: Pyogenic granuloma is a reactive hyperplastic change commonly encountered in the skin and oral cavity. Very rarely they can occur in the urinary bladder. Case Report: 73 year old male presented with obstructive urinary symptoms and pain during micturition. He had an open prostatic surgery 25 years ago. His investigations were not contributory and there was no improvement with alpha blockers. Cystoscopy revealed a solitary, pedunculated 1 cm lesion in the posterior wall of the bladder along with inflammatory changes. Biopsy from the lesion revealed a diagnosis of pyogenic granuloma along with follicular cystitis. His symptoms resolved after the procedure and he was treated with a prolonged course of antibiotics. His imaging and follow up cystoscopy after six months were normal. He remains asymptomatic at 1 year of follow up. Conclusion: Pyogenic granuloma of the bladder is very rare and till now only eight cases have been reported worldwide. The important factor in management is to differentiate this condition from malignancy and treatment with transurethral resection and antibiotics may suffice.

Keywords:
bladder pyogenic granuloma bladder tumor pyogenic granuloma

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

Figures

Figure of 3

References:

[1]  Verma PK, Srivastava R, Baranwal H, Chaturvedi T, Gautam A, Singh A. Pyogenic granuloma - hyperplastic lesion of the gingiva: case reports. Open Dent J. 2012; 6: 153-6.
 
[2]  C K Anderson Proceedings: Pyogenic granuloma of the urinary bladder. J Clin Pathol. 1973 Dec; 26(12):984.
 
[3]  Shoichiro Mukai, Hiroyuki Tanaka, Kouji Yamasaki, Takayuki Goto, Chie Onizuka, Toshiyuki Kamoto et al. Urinary bladder pyogenic granuloma: a case report. Journal of Medical Case Reports 2012, 6: 149.
 
[4]  Erarslan E, Ekiz F, Unverdi H, Yilmaz B, I, Coban S et al. Unusual cause of acute gastrointestinal bleeding: gastric pyogenic granuloma. Dig Endosc. 2012 Mar; 24(2):122.
 
[5]  Chou JW, Chen SF, Yii CY, Shih YS, Cheng KS, Chang HW. Jejunal pyogenic granuloma diagnosed and treated with spiral enteroscopy. Endoscopy. 2012 Apr; 44 Suppl 2 UCTN:E2-3.