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Treatment of pregnancy-associated oral pyogenic granuloma with life-threatening haemorrhage by transarterial embolisation

Published online by Cambridge University Press:  15 June 2015

K-Y Tsai ,
W-H Wang ,
G-H Chang  and
Y H Tsai
K-Y Tsai
Affiliation:
Department of Otolaryngology, Cathay General Hospital, Taipei, Taiwan, ROC
W-H Wang*
Affiliation:
Department of Otolaryngology, Cathay General Hospital, Taipei, Taiwan, ROC Department of Otolaryngology, Sijhih Cathay General Hospital, New Taipei City, Taiwan, ROC Fu-Jen Catholic University School of Medicine, New Taipei City, Taiwan, ROC
G-H Chang
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Taiwan, ROC
Y H Tsai
Affiliation:
Department of Diagnostic Radiology, Chang Gung Memorial Hospital at Chiayi, Taiwan, ROC
*
Address for correspondence: Dr W-H Wang, Department of Otolaryngology – Head and Neck Surgery, Cathay General Hospital and Fu-Jen Catholic University School of Medicine, 280 Jen-Ai Road, Sec. 4, Taipei 10630, Taiwan, ROC E-mail: ent.taiwan@gmail.com
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Abstract

Background:

Pregnancy-associated pyogenic granuloma (pregnancy tumour) is not uncommon. However, control of severe bleeding associated with the lesion by transarterial embolisation has never been reported.

Case report:

We report the case of a 33-year-old pregnant woman (34 weeks gestation) who presented with a pregnancy-associated pyogenic granuloma of the mandibular gingiva with a life-threatening haemorrhage. The bleeding stopped soon after transarterial micro-embolisation and regressed after one month; thus, no further surgical excision was needed. The patient was free of post-operative wound pain and infection, and there was no recurrence after one year of follow up.

Conclusion:

In general, surgical excision is the first treatment choice for pregnancy tumours. However, it is limited by the risk of marked deformity or incomplete excision when large lesions or difficult surgical areas are encountered. For large tumours, transarterial embolisation may be a safer alternative.

Keywords

Granuloma, PyogenicPregnancy ComplicationsTherapeutic EmbolizationHemorrhage
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 6 , June 2015 , pp. 607 - 610
Copyright
Copyright © JLO (1984) Limited 2015 

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