Case report
A Case of Pyogenic Granuloma in the Middle Ear: An Uncommon Clinical Entity
Correspondence Address :
Megha Doiphode,
Ganga Skies Housing Society, Vallabhnagar, Pimpri, Pune-411018, Maharashtra, India.
E-mail: meghadoiphodepatel@gmail.com
Pyogenic Granuloma (PG) is a benign vascular lesion that typically appears following trauma or irritation. It may also develop in individuals with immunosuppression or as a result of other unclear mechanisms that encourage angiogenesis and vasculogenesis. It is also known as lobular capillary hemangioma, as the endothelial cells are arranged in a characteristic pattern of circumscribed capillaries positioned in lobules. About one-third of PGs are found in the head and neck region, although they are rarely seen in the middle ear. Hereby, the authors present a case of a 60-year-old female patient who presented with ear pain and ear discharge in the right ear. She had a history of a right-sided modified radical mastoidectomy performed six months prior, which was aborted intraoperatively due to profuse bleeding. The histopathological report from that surgery was suggestive of a symplastic glomus tumour. Authors excised the middle ear mass in toto with subtotal petrosectomy, considering the diagnosis of a symplastic glomus tumour, and to authors surprise, the subsequent histopathological report suggested a PG of the middle ear cavity. Hence, the present case highlights the importance of considering PG in the differential diagnosis for previously operated patients with a history of blood-tinged ear discharge and otalgia.
Blood-tinged ear discharge, Glomus tumour, Otalgia, Subtotal petrosectomy
DOI: 10.7860/JCDR/2025/81088.21589
Date of Submission: Jun 02, 2025
Date of Peer Review: Jul 03, 2025
Date of Acceptance: Jul 16, 2025
Date of Publishing: Oct 01, 2025
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes
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ETYMOLOGY: Author Origin
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