A case of small bowel pyogenic granuloma with bleeding successfully treated by endoscopic resection

Pyogenic granuloma is a benign vascular lesion that typically arises in the skin or oral mucosa. We present a rare case of small intestinal pyogenic granuloma successfully treated with EMR. A 70-year-old man underwent surgery for strangulated ileus and subsequently developed persistent anemia of unknown etiology. Capsule endoscopy revealed a 10-mm reddish, semi-pedunculated polyp with active bleeding in the distal small bowel. EMR was performed using a transanal double-balloon enteroscopy (DBE). Histopathological analysis confirmed the diagnosis of pyogenic granuloma. Although surgical resection has been the standard approach in most previously reported cases, this case highlights the feasibility and effectiveness of endoscopic resection for such lesions. It also underscores the value of capsule endoscopy and DBE for the diagnosis and minimally invasive management of rare small bowel tumors.