International Journal of Critical Illness and Injury Science

LETTER TO THE EDITOR
Year
: 2014  |  Volume : 4  |  Issue : 4  |  Page : 317--318

Hemorrhagic pyogenic granuloma after internal hordeolum


Ali Akal1, Tugba Goncu1, Sezen Kocarslan2, Isa Yuvaci3, Yudum Yuce3, Emine Pangal3, Ufuk Ozkan1, Turgay Ulas4,  
1 Department of Ophthalmology, School of Medicine, Harran University, Sanliurfa, Turkey
2 Department of Pathology, School of Medicine, Harran University, Sanliurfa, Turkey
3 Department of Ophthalmology, Kayseri Training and Research Hospital, Kayseri, Turkey
4 Department of Internal Medicine, School of Medicine, Harran University, Sanliurfa, Turkey

Correspondence Address:
Dr. Ali Akal
Department of Ophthalmology, School of Medicine, Harran University, Sanliurfa
Turkey




How to cite this article:
Akal A, Goncu T, Kocarslan S, Yuvaci I, Yuce Y, Pangal E, Ozkan U, Ulas T. Hemorrhagic pyogenic granuloma after internal hordeolum.Int J Crit Illn Inj Sci 2014;4:317-318


How to cite this URL:
Akal A, Goncu T, Kocarslan S, Yuvaci I, Yuce Y, Pangal E, Ozkan U, Ulas T. Hemorrhagic pyogenic granuloma after internal hordeolum. Int J Crit Illn Inj Sci [serial online] 2014 [cited 2022 Sep 24 ];4:317-318
Available from: https://www.ijciis.org/text.asp?2014/4/4/317/147540


Full Text

Dear Editor,

Pyogenic granuloma is a slow growing proliferation of granulation tissue caused by surgery trauma and infection. Pain, rapid enlargement and bleeding after unimportant traumas are the main characteristics of these lesions. At pyogenic granuloma conjunctiva, it is a benign lesion that is seen frequently at mucosa and skin. The reasons that bring the patients to the doctor are lesion bleeding and the pain occurred by the mass. They can be detected easily due to their fast growth, bleeding due to tiny traumas, and without any reason. [1]

A woman patient aged 39 applied to our clinic with the complaint of growing mass and bleeding like leakages at her left eye upper lid during the past two months [Figure 1]. During the previous tracks of case it was identified as hordeolum interna. There was no surgery and trauma history experienced. At the ophthalmologic examination of the case, right and left eye vision was 1.0, fundus examination for both eyes was normal, and intraocular pressure at right was 13 mmHg (Appl) and at left eye was 14 mmHg (Appl), and at slit-lamp examination, right eye findings were normal, at left eye upper lid temporal in there was a bleeding mass of 0.8 × 0.7 × 0.5 cm dimension. For the case the routine surgery operation preparations completed and performed local anesthesia with lidocaine HCL to the upper lid. We put chalasion clamp to the upper lid and put 8/0 vicryl and one suture to the stalk of mass. The lesion was made dissection above the suture. It was cauterized and eye was closed. The piece obtained after the surgery is presented at [Figure 2]. After the pathologic analysis, it became consistent with the pyogenic granuloma.{Figure 1}{Figure 2}

Pyogenic granuloma is an acquired hemangioma that can occur due to different etiologies despite the consideration that it has relation with infection in relation to pyogenic expression in its name, and criotherapy and curettage are the main strategies for its treatment. [2],[3] It should be kept in mind that pyogenic granulomas at the eye can occur without trauma and surgery intervention. Our case happened after the internal hordeolum.

References

1Pastor-Paskal F, Avino-Martinez J, Espana-Gregori E, Alcocer-Yuste P. Pyogenic granuloma following Smart Plug Insertion. Arch Soc Esp Oftalmol 2007;82:653-5.
2Metts J. Common complications of body piercing. West J Med 2002;176:85-6.
3Jafarian F, Powell J, Kokta V, Champagne M, Hatami A, McCuaig C, et al. Malignant melanoma in childhood and adolescence: Report of 13 cases. J Am Acad Dermatol 2005;53:816-22.