A rare location of Pyogenic granuloma in the nasal vestibule in a male patient- A case report

Pyogenic granuloma (PG) is a benign lesion of vascular origin with a bleeding tendency. The head and neck region is a common location for its origin, but the nose-borne lesions are rarely seen. They usually grow due to hormonal imbalance as in pregnancy or local trauma. They grow with hyperplastic activity of the skin and mucous membranes. They are more commonly seen in women. For the nasal pyogenic granulomas, unilateral epistaxis and nasal blockage are the common presenting complaints. Surgical excision is the main stay of treatment and if done meticulously, the chances of recurrence are low. We report a case of 52-year-old male who presented with complaints of recurrent epistaxis from the right nostril. On examination, a dark red polypoidal lesion was noticed in the nasal vestibule. Under local anaesthesia, complete surgical excision of the lesion with cauterisation of the base was done. Histopathological examination of the excised biopsy validated the diagnosis of pyogenic granuloma. Pyogenic granuloma should be considered as one of the differential diagnosis in the patients presenting with recurrent nasal bleeds, especially in cases of nasal trauma. All the cases likely to be pyogenic granuloma on clinical findings should be excised surgically and evaluated histo-pathologically to rule out any malignancy.