title: Pyogenic granuloma of the ileum diagnosed by double-balloon enteroscopy.
abstract: A pyogenic granuloma (PG) is a capillary hemangioma that usually occurs on the skin or in the oral cavity; it is rarely observed in the gastrointestinal tract. We herein describe a case of a 86-year-old woman who presented with anemia. Esophagogastroduodenoscopy and colonoscopy did not reveal any significant bleeding focus, but capsule endoscopy revealed a bleeding focus in the small intestine. We performed double-balloon enteroscopy and identified a 7-mm-diameter, reddish, subpedunculated, hemispheric polyp with a smooth surface in the small intestine, approximately 100 cm from the ileocecal valve. The polyp was surgically removed, and the histological findings were consistent with a diagnosis of PG.
authors.affiliation: Department of General Internal Medicine, Saitama Medical University, Japan.
authors.forename: Azusa
authors.initials: A
authors.lastname: Kikuchi
authors.forename: Tomohisa
authors.initials: T
authors.lastname: Sujino
authors.forename: Minoru
authors.initials: M
authors.lastname: Yamaoka
authors.forename: Kazuaki
authors.initials: K
authors.lastname: Yoneno
authors.forename: Hideki
authors.initials: H
authors.lastname: Ohgo
authors.forename: Makoto
authors.initials: M
authors.lastname: Takagi
authors.forename: Shingo
authors.initials: S
authors.lastname: Morioka
authors.forename: Eiji
authors.initials: E
authors.lastname: Hirooka
authors.forename: Keiji
authors.initials: K
authors.lastname: Yamamoto
authors.forename: Nozomi
authors.initials: N
authors.lastname: Shinozuka
authors.forename: Taku
authors.initials: T
authors.lastname: Honma
authors.forename: Hidekazu
authors.initials: H
authors.lastname: Kayano
authors.forename: Hidetomo
authors.initials: H
authors.lastname: Nakamoto
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Imaeda
mesh_terms: D000369:Aged, 80 and over; D003937:Diagnosis, Differential; D058582:Double-Balloon Enteroscopy / Q000379:methods*; D005260:Female; D017789:Granuloma, Pyogenic / Q000175:diagnosis*; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis*; D007082:Ileum / Q000473:pathology*