Pyogenic granuloma of the lower labial mucosa during pregnancy: a case report

Extragingival pyogenic granuloma (PG) of the lower labial mucosa is rare during pregnancy, with only a few cases previously reported. This report describes the management of a PG on the lower labial mucosa in a 26-year-old patient at 18 weeks of gestation, representing the earliest reported gestational presentation requiring surgical intervention. The patient presented with a progressively enlarging mass and recurrent bleeding. Given these clinical indications and the lack of established safety data for non-surgical treatments during pregnancy, surgical excision was performed under local anesthesia using lidocaine without epinephrine rather than deferring treatment until after delivery. Histopathology confirmed lobular capillary hemangioma with surface ulceration. At 3-month follow-up, no recurrence was observed, and both maternal and fetal conditions remained stable. This case demonstrates that surgical excision during the second trimester under local anesthesia is feasible and safe, and provides a perioperative management reference for clinicians facing similar cases.