A Case of Laryngeal Pyogenic Granuloma During Pregnancy Who Required Tracheostomy

Abstract

Pyogenic granuloma is a blood-rich mass occurring in the oral and nasal cavity, that is often seen in pregnant women. This mass often grows to a large size before any symptoms become manifest. We present a case of laryngeal pyogenic granuloma in a 29-year-old pregnant woman. She presented with a history of pharyngeal discomfort and hoarseness from the 27th week of pregnancy. Fiberoptic laryngoscopy revealed a mass located in the left vocal cord that occupied about one-third of the glottic space. The patient did not complain of breathlessness at the first consultation, but developed dyspnea about five hours after the first consultation. A fiberoptic laryngoscopic examination revealed an increase in the size of the mass, which was now occupying two-thirds of the glottic space. Tracheostomy was performed under local anesthesia. Five days after the tracheostomy, under local anesthesia, we removed the mass with a snare under fiberoptic laryngoscopic guidance. The histological findings revealed the diagnosis of pyogenic granuloma. The patient has been followed up for one year, with no evidence of recurrence. We considered that laryngeal pyogenic granuloma could obstruct the airway rapidly, so that close attention should be paid to any respiratory symptoms.