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Pyogenic Granuloma of the Sigmoid Colon causing Intussusception in an Infant
Salvatore Garofalo1, Michael Mostert2, Isabella Morra3
1Department of Paediatric Surgery, Regina Margherita Children's Hospital, Italy.
Insights
A rare sigmoid colon pyogenic granuloma caused intussusception in an infant. Surgical removal provided a cure, and progesterone exposure during pregnancy may be a potential cause.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Pathology
Background:
- Pyogenic granuloma is a benign vascular tumor.
- Gastrointestinal tract involvement is uncommon.
- Intussusception is a surgical emergency in infants.
Observation:
- A 4-month-old boy presented with intussusception.
- The intussusception was caused by a sigmoid colon pyogenic granuloma.
- The mother reported high-dose progesterone exposure during early pregnancy.
Findings:
- Surgical resection and anastomosis successfully treated the pyogenic granuloma and intussusception.
- Progesterone exposure is a potential etiological factor for pyogenic granuloma in this case.
Implications:
- This case highlights a rare cause of intussusception in infants.
- Further research may explore the role of hormonal factors in pyogenic granuloma development.
- Early diagnosis and surgical intervention are crucial for favorable outcomes.
Abstract:
Pyogenic granuloma is a benign vascular tumor that may affect the gastrointestinal tract. This report describes a rare case of sigmoid-colon pyogenic granuloma in a 4-month-old boy causing intussusception. Resection and anastomosis were curative. The mother had history of high dose of progesterone exposure during initial weeks of conception for vaginal bleeding. This may point towards etiology of the lesion.
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