Pyogenic Granuloma Caused by Exposed Sternotomy Wires

Abstract

Pyogenic granulomas are vascular benign tumors that commonly appear secondary to trauma. The source of the trauma in this case was the exposed sternotomy wires.

Pyogenic granuloma as a surrogate indicator of deep seated foreign bodies: a case report

“…However, four case reports documented the formation of a pyogenic granuloma following silicon punctual plugs [1-4]. Northington and Huang (2004) reported the formation of a pyogenic granuloma due to an exposed sternal wire [5]. The aetiology of pyogenic granulomata is as yet unknown, although trauma, infection and preceding dermatoses have all been suggested [6].…”

Multiple Pyogenic Granulomas on the Face After Landmine Injury

“…The etiology of PG is not well understood, but some factors have been accused of being predisposing factors for this disease. They include trauma, traumalike activities (nose piercing, smallpox vaccination), chronic irritation, increased levels of female sex hormones, infections, viral oncogenes, retinoid therapy, and burn (1–4). Angiogenic factors, such as vascular endothelial and basic fibroblast growth factors, are believed to lead to the evolution of such tumors.…”

“…Angiogenic factors, such as vascular endothelial and basic fibroblast growth factors, are believed to lead to the evolution of such tumors. Localized trauma may release angiogenic substances that may stimulate vascular proliferation (1). In our patient, severe trauma because of landmine injury and well vascularization of the face may induce development of multiple giant PG.…”

“…There are various treatment alternatives including surgical excision with primary closure, shave excision at the base followed by electrocautery, cryotherapy with liquid nitrogen, carbon dioxide (CO 2 ) laser vaporization, and pulsed dye laser therapy (1,3). As a result, especially on the well‐vascularized areas, PG should be considered in the differential diagnosis of the nodular lesions following trauma.…”

A 42-year-old man with a rapidly growing lesion of the soft palate

“…The most common sites are areas with an abundant blood supply that are vulnerable to trauma (e.g., the gingiva in denture wearers, fingers, lips, face and tongue). 1 LCH lesions are most common in children and young adults and in pregnant women. "Granuloma gravidarum" and "epulis gravidarum" have been used to describe the lobular capillary hemangiomas on the gingiva that develop in up to 2.5% of pregnant women, often during the second and third trimester.…”