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Canadian Journal of Gastroenterology
Volume 23 (2009), Issue 4, Pages 261-264
Brief Communication

Pyogenic Granuloma: An Unusual Cause of Massive Gastrointestinal Bleeding from the Small Bowel

Dana C Moffatt,1 Paul Warwryko,2 and Harminder Singh1

1Department of Internal Medicine, University of Manitoba, Winnipeg, Manitoba, Canada
2Department of Pathology, University of Manitoba, Winnipeg, Manitoba, Canada

Received 10 September 2008; Accepted 26 September 2008

Copyright © 2009 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Small bowel hemorrhage is responsible for approximately 4% of all cases of gastrointestinal bleeding. The etiology of bleeding from the small bowel is a tumour in approximately 10% of cases. Pyogenic granuloma is a common inflammatory vascular tumour of the dermis, which rarely occurs in the gastrointestinal tract. Pyogenic granuloma is a rare cause of overt or obscure small bowel bleeding. The present paper reports the first case of pyogenic granuloma presenting as a massive gastrointestinal bleed, and reviews the relevant literature to date regarding the clinical presentation, diagnosis and management of this rare gastrointestinal lesion.