Daniela Elena Serban1, Marcel Tantau2, Nicolae Miu1, Petre Florescu3,
1) 2nd Pediatric Clinic. 2) 3rd Medical Clinic. 3) Department
of Morphopathology, University of Medicine and Pharmacy. 4)
Children's Hospital, Cluj-Napoca
Although a common lesion of the skin and oral cavity, pyogenic
granuloma has been reported in only 15 cases in the gastrointestinal
tract, 3 of them being colorectal adult cases. To the best of
our knowledge, no colorectal pediatric case has been described.
We report on pediatric rectal pyogenic granuloma cases. To determine
if there are possible peculiarities of these pyogenic granuloma,
we retrospectively studied clinical, endoscopic and histologic
features of all cases found to have polyps at colonoscopy, over
a 3-year period.
We detected 11 children with colorectal polyps. From the 8 polyps
considered colonoscopically as juvenile, microscopically 2 had
a typical appearance of pyogenic granuloma and in a polyp related
to mucosal prolapse syndrome, a small area of pyogenic granuloma
was also found. No peculiar flora was detected in the stool.
No recurrent lesions have appeared at follow-up colonoscopy.
Our report suggests that colorectal pyogenic granuloma is not
as rare as formerly believed, since we have been able to detect
two cases in our small series. The pyogenic granuloma is not
a lesion "per se"; it could appear in any area of
mucosal ulceration, in the presence of a peculiar attenuated
local flora, that needs to be further studied. The clinical
and colonoscopic features are not distinct for pyogenic granuloma;
therefore, microscopic examination is required. The treatment
of choice of gastrointestinal pyogenic granuloma is complete
Pyogenic granuloma - colorectum - children