Intravenous Pyogenic Granuloma of the Finger

Dong Hee Kim; Do Hun Kim; Hyoung Min Kim; Ji Heon Lee; Byung Woo An

doi:10.12790/jkssh.2013.18.4.173

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Kim, Kim, Kim, Lee, and An: Intravenous Pyogenic Granuloma of the Finger

Case Report

J Korean Soc Surg Hand 2013;18(4):173-177.

Published online: 12 December 2013

DOI: https://doi.org/10.12790/jkssh.2013.18.4.173

Intravenous Pyogenic Granuloma of the Finger

Dong Hee Kim, Do Hun Kim, Hyoung Min Kim, Ji Heon Lee, Byung Woo An

Department of Orthopaedic Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea

Correspondence to: Byung Woo An Department of Orthopaedic Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, 158 Paryong-ro, Masanhoewon-gu, Changwon 630-723, Korea TEL: +82-55-290-6030 FAX: +82-55-290-6888 E-mail: bwa0820@naver.com

Received 28 September 201324 October 2013 Accepted 26 October 2013

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Intravenous pyogenic granuloma is a rare form of lobular capillary hemangioma and typically consists of an intraluminal polyp attached to the wall of a vein by a fibro-vascular stalk. It rarely occurs in the finger and its character is not enough to diagnosis clinically. Therefore, we report intravenous pyogenic granuloma which occurs in dorsal side of mid-phalanx with magnetic resonance imaging and pathological findings.

Keywords: Intravenous pyogenic granuloma, Hemangioma, Finger

REFERENCES

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Fig. 1.

(A) Preoperative photogragh shows 1.5×0.5 cm palpable mass on the midphalanx level dorsal side of the fourth finger, left hand. (B) Intraoperative photogragh shows 1.6×0.6 cm sized well-lobulated pale mass like region in the vessel of mid phalanx dorsal side.

Fig. 2.

Magnetic resonance imaging. (A) Axial view T1-weighted image shows that the signal of the lesion is equivalent to that of adjacent skin. (B) Axial view T2-weighted image shows 1.2×0.4×0.7 cm-sized well-defined lobulating well-enhancing nodule at the subcutaneous layer of the middle phalanx level. (C) Axial and sagittal view T1-weighted image obtained after intravenous injection of gadolinium shows homogeneous enhancement of lesion.

Fig. 3.

Histological photograph (H&E). (A) Subcutaneous nodule showing an intravenous polyp composed of lobules of capillaries separated by fibrous connective tissue attached to the wall of the vein by a fibrovascular stalk (×40). (B) Higher magnification shows monotonous endothelial hyperplasia and capillary proliferation (×200).

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