Jornal de Hepatologia e Distúrbios Gastrointestinais
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Pyogenic Granuloma of the Colon Presenting as Brisk Lower GI Bleed: Case Representation

Hamid Ullah, Lauren Searls, Sara Iqbal

Pyogenic Granuloma (PG) typically presents as a benign vascular lesion of the skin and mucosal surfaces, however, cases in the Gastrointestinal (GI) tract have been reported. It is a form of lobular capillary hemangioma that can easily bleed on endoscopic intervention and can be misdiagnosed as a malignant lesion based on appearance. We report a case of a 73-year-old male who presented with a couple of days of hematochezia and was found to have approximately 5 cm polypoid mass of ascending colon that eventually required hemicolectomy for management of persistent lower GI bleed. We review the literature on PG cases of the colon and rectum to understand the presenting symptomatology, endoscopic findings, therapeutic intervention, and surveillance data.