Clin Endosc.  2013 Jan;46(1):81-84. 10.5946/ce.2013.46.1.81.

Esophageal Pyogenic Granuloma: Endosonographic Findings and Endoscopic Treatments

• Seoung HG
• Kim GH
• Song GA
• Kim JH
• Oh MY
• Choi JC
• Koh JH
• Park CJ

• KMID: 1792645
• DOI: http://doi.org/10.5946/ce.2013.46.1.81

Abstract

Pyogenic granuloma is a benign inflammatory vascular lesion, mainly found in the skin and oral mucosa. A few cases of pyogenic granuloma in the gastrointestinal tract have been reported, and the esophagus was the main site in these cases. These patients were diagnosed with pyogenic granuloma after they underwent upper endoscopy and biopsy. Endoscopic resection is a favorable treatment option for esophageal pyogenic granuloma. Recently, we observed characteristic endosonographic findings in two cases with esophageal pyogenic granuloma, which were then treated successfully by endoscopic resection.

Keyword

Endosonography; Esophagus; Pyogenic granuloma

MeSH Terms

Biopsy
Endoscopy
Endosonography
Esophagus
Gastrointestinal Tract
Granuloma, Pyogenic
Humans
Mouth Mucosa
Skin

Figure

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  Fig. 1 (A) Endoscopy findings. A 1-cm polypoid lesion covered by exudates is observed just above the esophagogastric junction. (B) Endosonographic findings. A homogeneously hyperechoic lesion is seen in the submucosa. (C) Saline solution is injected to lift the lesion. (D) Complete removal of the lesion using a snare. (E) Resected specimen. (F) Histological findings. The resected polyp is composed of edematous granulated tissue containing numerous capillaries (H&E stain, ×200; Box, H&E stain, ×40).

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  Fig. 2 (A) Endoscopy findings. A 0.5-cm pinkish polypoid lesion is seen 30 cm from the incisor teeth. (B) Endosonographic findings. A homogeneously hyperechoic lesion is seen in the lamina propria. (C) Band ligation was performed using a ligation device and then snare resection was done. (D) Complete resection of the lesion. (E) Resected specimen. (F) Histological findings. The resected polyp is composed of abundant capillaries that are lined with endothelial cells (H&E stain, ×200; Box, H&E stain, ×40).

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