Pyogenic granuloma of the glans penis after angioembolisation procedure

Abstract

A 8-year-old male child was referred to the Dermatologic clinic for a protruding growth on the glans penis that had appeared and started growing rapidly over a period of past 7 days since the child underwent the angioembolisation procedure for Penile Arteriovenous (AV) malformation. There was a history of intermittent bleeding from the well-established lesion. Clinical examination revealed a single, well-defined, rounded, sessile, fleshy red, vascular, polypoidal growth of size 3.5 x 3 cm present circumferentially around the urethral opening on the glans penis (Figure 1). The patient’s clinical course and a physical examination for glans penis lesion was suggestive of a Pyogenic Granuloma (PG). Histopathological examination of the mucosal biopsy from the lesion confirmed the diagnosis showing proliferating vessels surrounded by a mixed inflammatory infiltrate comprising lymphocytes, plasma cells, neutrophils, and eosinophils. After the confirmation of the diagnosis, the lesion was completely excised under local anaesthesia. During the postoperative follow-up, there was no recurrence six months after the surgery.