title: Pregnancy epulis associated with life threatening haemorrhage in a Nigerian woman.
abstract: Pregnancy tumour is a clinical term used to identify a pyogenic granuloma that occurs in pregnant women. Pregnancy tumour is not uncommon, but severe bleeding associated with the lesion necessitating blood transfusion is rare. We report a rare case of mandibular gingival pregnancy tumour with a life-threatening haemorrhage in a 25-year-old Nigerian woman. The patient had lost an estimated 2 litres of blood before presentation. Her packed cell volume was 8% at presentation. The patient was managed by infusion of fluid, transfusion of 4 units of blood and ligation of the facial artery; and excision of the lesion. Following an uneventful healing, she was discharged 10 days later with a PCV of 40.5%. Following subsequent review there was a recurrence 2 months later that regress after 1 month. She was subsequently lost to further follow up.
authors.affiliation: Department of Oral and Maxillofacial Surgery, College of Medicine, University of Lagos/Lagos University Teaching Hospital, Lagos, Nigeria.
authors.forename: O A
authors.initials: OA
authors.lastname: Taiwo
authors.forename: W L
authors.initials: WL
authors.lastname: Adeyemo
authors.forename: A L
authors.initials: AL
authors.lastname: Ladeinde
authors.forename: O F
authors.initials: OF
authors.lastname: Ajayi
authors.forename: K
authors.initials: K
authors.lastname: Umeizudike
authors.forename: P
authors.initials: P
authors.lastname: Ayanbadejo
mesh_terms: D000328:Adult; D001803:Blood Transfusion; D005260:Female; D005440:Fluid Therapy; D005882:Gingival Diseases / Q000150:complications*; D017789:Granuloma, Pyogenic / Q000150:complications*; D006470:Hemorrhage / Q000209:etiology* / Q000628:therapy; D006801:Humans; D009549:Nigeria; D011247:Pregnancy; D011248:Pregnancy Complications