International Journal of Pediatric Otorhinolaryngology Extra
Volume 4, Issue 1 , Pages 14-16, January 2009

Pyogenic granuloma as a complication of prolonged nasogastric tube insertion in an immuno-compromised host

  • George Kuruvilla

      Affiliations

    • Pediatric Otolaryngology Service, Division of Pediatric Surgery, The Stollery Children's Hospital, Edmonton, Alberta, Canada
    • Pediatric Otolaryngology Service, Division of Otolaryngology, The Stollery Children's Hospital, Edmonton, Canada
    • Pediatric Otolaryngology Service, Department of Pediatrics, The Stollery Children's Hospital, Edmonton, Canada
  • ,
  • Greta Ra

      Affiliations

    • Pediatric Otolaryngology Service, Division of Pediatric Surgery, The Stollery Children's Hospital, Edmonton, Alberta, Canada
  • ,
  • Atilano Lacson

      Affiliations

    • Division of Anatomical Pathology, The Stollery Children's Hospital, Edmonton, Canada
    • Department of Laboratory Medicine & Pathology, The Stollery Children's Hospital, Edmonton, Canada
  • ,
  • Hamdy El-Hakim

      Affiliations

    • Pediatric Otolaryngology Service, Division of Pediatric Surgery, The Stollery Children's Hospital, Edmonton, Alberta, Canada
    • Pediatric Otolaryngology Service, Division of Otolaryngology, The Stollery Children's Hospital, Edmonton, Canada
    • Pediatric Otolaryngology Service, Department of Pediatrics, The Stollery Children's Hospital, Edmonton, Canada
    • Corresponding Author InformationCorresponding author at: Division of Pediatric Surgery, The Stollery Children's Hospital, 2C3.57 Walter MacKenzie Centre, Edmonton, Alberta, Canada T6G 2R7. Tel.: +1 780 407 8572; fax: +1 780 407 2004.

Received 25 February 2008; accepted 30 April 2008. published online 18 June 2008.

Summary 

Pyogenic granuloma is a polypoidal capillary hemangioma that occurs on the skin and mucosal surface. Trauma, hormonal changes seen in pregnancy and use of the oral contraceptive pill have a role in its pathogenesis. Except for the oral cavity, involvement of gastrointestinal tract is quite rare and there are no reports of hypopharyngeal involvement. We report a case of hypopharyngeal pyogenic granuloma most likely secondary to prolonged nasogastric tube insertion in an immuno-compromised host.

Keywords: Pyogenic granuloma, Chemotherapy, Lobular capillary hemangioma, Gastroesophageal reflux, Hypopharynx

 

PII: S1871-4048(08)00032-4

doi:10.1016/j.pedex.2008.04.004

International Journal of Pediatric Otorhinolaryngology Extra
Volume 4, Issue 1 , Pages 14-16, January 2009