Atypical Presentation of Lobular Capillary Haemangioma of the Maxillary Alveolus: A Case Report

Abstract

Pyogenic Granuloma (PG) is a benign vascular lesion that rapidly grows, is painless, and presents as a friable, smooth, or lobulated exophytic lesion, manifesting as small, red, erythematous papules with a pedunculated or sessile base. The most common site is the gingiva, followed by the tongue and buccal mucosa. Hereby, the authors present a case of a five-year-old girl who reported for an oral and maxillofacial consultation with a swelling in her left upper gum region, associated with multiple episodes of intermittent bleeding. On presentation, a bluish-red, sessile lesion was observed on the gingiva of the left upper 1st molar. Magnetic Resonance Imaging (MRI) and Angiography provided a provisional diagnosis of a vascular tumour, following which embolisation and excision of the lesion were performed by Interventional Radiologists (IR) and Maxillofacial Surgeons. The patient’s recovery was uneventful, and histopathology{Haematoxylin and Eosin (H&E)} was reported as Lobular Capillary Haemangioma (LCH).