Pyogenic Granuloma and Arteriovenous Malformation
Journal Title: Sultan Qaboos University Medical Journal - Year 2019, Vol 19, Issue 2
Abstract
A44-year-old male patient presented to the Kasturba Medical College Hospital, Manipal, India, in 2018 with a two-month history of a repeatedly bleeding, non-healing nodule over the tip of his left thumb following minor trauma with a sharp object during his work as a barber. He had been treated on an outpatient basis at various clinics without success. Evaluation revealed a nodular growth of 0.5 × 0.5 cm over the distal phalanx of his left thumb [Figure 1A]. Te nodule continued to bleed and required a continuous pressure dressing to control the flow. On occlusion of the left radial artery, the bleeding temporarily receded. With a clinical diagnosis of a post-traumatic arteriovenous (AV) malformation, a computed tomography angiogram of the left upper limb revealed an AV fstula at the site of the distal phalanx of the left thumb with feeding vessels from the left radial artery [Figure 1B]. Te lesion was excised and haemostasis was achieved [Figure 2A]. Histopathology revealed lobulated proliferation of capillary sized vessels, inflammatory cells in a loose and oedematous stroma with fndings indicative of a pyogenic granuloma (PG).
Authors and Affiliations
Gabriel Rodrigues, Balaji Jayasankar, Krishna K. R. Janumpalli
Keywords
Related Articles
- EP ID EP49980
- DOI http://dx.doi.org/10.18295/squmj.2019.19.02.017
- Views 322
- Downloads 0
Late-onset Visual Loss in Osteopetrosis
Late-onset visual loss is a complication of nerve entrapment and increased intracranial pressure. We hereby describe the frst case in Eastern Africa. A 23 year-old lady presented with sudden blindness, headaches and bo...
Erratum Notice of Author Sequence Change Spousal concordance of diabetes mellitus among women in Ajman, United Arab Emirates
Large Complex Odontoma A report of a rare entity
Odontomas are hamartomatous lesions composed of mature enamel, dentin, and pulp, and may be compound or complex depending on the extent of morphodifferentiation or on their resemblance to normal teeth. Tey are the mos...
Maxillary First Molar with Two Root Canals
Knowledge regarding the anatomic morphology of maxillary molars is absolutely essential for the success of endodontic treatment. Te morphology of the permanent maxillary frst molar has been reviewed extensively; howeve...
Time Trends and Geographical Distribution of Childhood Leukaemia in Basrah, Iraq, from 2004 to 2009
Objectives: Tis study aimed to assess the incidence and trend of childhood leukaemia in Basrah. Methods: Tis was a hospital-based cancer registry study carried out at the Pediatric Oncology Ward, Maternity & Childrenâ€...