Pyogenic Granuloma and Arteriovenous Malformation
Journal Title: Sultan Qaboos University Medical Journal - Year 2019, Vol 19, Issue 2
Abstract
A44-year-old male patient presented to the Kasturba Medical College Hospital, Manipal, India, in 2018 with a two-month history of a repeatedly bleeding, non-healing nodule over the tip of his left thumb following minor trauma with a sharp object during his work as a barber. He had been treated on an outpatient basis at various clinics without success. Evaluation revealed a nodular growth of 0.5 × 0.5 cm over the distal phalanx of his left thumb [Figure 1A]. Te nodule continued to bleed and required a continuous pressure dressing to control the flow. On occlusion of the left radial artery, the bleeding temporarily receded. With a clinical diagnosis of a post-traumatic arteriovenous (AV) malformation, a computed tomography angiogram of the left upper limb revealed an AV fstula at the site of the distal phalanx of the left thumb with feeding vessels from the left radial artery [Figure 1B]. Te lesion was excised and haemostasis was achieved [Figure 2A]. Histopathology revealed lobulated proliferation of capillary sized vessels, inflammatory cells in a loose and oedematous stroma with fndings indicative of a pyogenic granuloma (PG).
Authors and Affiliations
Gabriel Rodrigues, Balaji Jayasankar, Krishna K. R. Janumpalli
Keywords
Related Articles
- EP ID EP49980
- DOI http://dx.doi.org/10.18295/squmj.2019.19.02.017
- Views 328
- Downloads 0
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