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- W2000700323 abstract "A 54-year-old man with adenocarcinoma of the stomach in remission after partial gastric resection, lymphadenectomy, Roux-en-Y, and radiochemotherapy presented with 2 days of hematochezia. Colonoscopy showed a 10-mm patelliform, wide-based polyp with central scarring and partial ulcerated surface in the descending colon just below the splenic flexure (Figure 1). Because of the lesion’s special appearance with possible malignancy, it was biopsied with moderate bleeding, treated successfully with epinephrine injection. Histology showed a polypoid ulcerated lesion with lobular proliferation of variably sized capillaries in edematous stroma without signs of malignancy (Figure 2). Repeat colonoscopy 10 weeks later revealed a similar-appearing polyp at the site of previous biopsy with rapid increase in size to 20 mm (Figure 3). Histology after submucosal injection polypectomy showed findings consistent with pyogenic granuloma of the descending colon. Repeat colonoscopy 3 months later revealed polyp recurrence; repeat submucosal injection polypectomy and complete macroscopic resection showed presence of a pyogenic granuloma and possible signs of incomplete resection. A fourth colonoscopy 8 weeks later showed only a scar at the former polyp location without signs of recurrence." @default.
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- W2000700323 date "2015-01-01" @default.
- W2000700323 modified "2023-09-26" @default.
- W2000700323 title "Pyogenic Granuloma of the Descending Colon: A Rare Cause of Lower Gastrointestinal Bleeding" @default.
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- W2000700323 doi "https://doi.org/10.14309/crj.2015.7" @default.
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