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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.

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Article

Pyogenic Granuloma of the Urinary Bladder: A Rare Entity

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


American Journal of Medical Case Reports. 2016, Vol. 4 No. 5, 165-167
DOI: 10.12691/ajmcr-4-5-5
Copyright © 2016 Science and Education Publishing

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.

Correspondence to: Paul  Vincent D, MIMS Hopsital, Kottakkal, Malappuram, Kerala 676503, India. Email: pauldevincent@rediffmail.com

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.

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