Reoccurrence of Pyogenic granuloma in a pregnant patient - A case report

Abstract

Pyogenic granuloma (PG) is a common benign vascular neoplasm that grows rapidly on the skin and mucosal tissues, often leading to surface ulceration and tissue damage. Pregnant women are more prone to developing PG, with up to 5% of pregnant women experiencing the condition. To the best of our knowledge, no case study has been published to date illustrating the management of PG in pregnant patients vulnerable to hemorrhage. A 27-year-old pregnant woman receiving anticoagulant therapy presented with painful lumps on the tongue. She had previously undergone surgical removal of a lump, which reappeared after a month. An external oral examination revealed swelling and a raised, reddish, oval-shaped lesion behind the lower anterior teeth. The lesion was pedunculated with a smooth surface and bleeding. Owing to recurrence and pain, the lumps were excised again using a scalpel. The excised tissue specimens were sent for histopathological assessment to confirm the diagnosis of PG. The tumor was removed with minimal trauma and pressure was applied sublingually to minimize bleeding. Tissue glue was applied for hemostasis, and the patient was instructed to prevent bleeding by applying pressure to the excised area. At the one-week follow-up, no complications were observed. This case report highlights the therapeutic significance of complete tumor excision and pressure therapy in mitigating excessive bleeding, particularly in patients receiving anticoagulant therapy.