Extensive pyogenic granuloma in a pregnant woman

Introduction

Pregnancy epulis, or pregnancy-associated pyogenic granuloma, is a benign oral tumor linked to hormonal changes and local irritative factors. It typically appears as an exuberant, bleeding, and sometimes painful gingival mass.

Clinical case

We report the case of a 32-year-old woman in her third trimester of pregnancy, presenting with a bilobed tumor evolving over six months, bleeding upon contact. Clinical examination revealed a pedunculated, dark red lesion on the anterior maxillary marginal gingiva. Surgical excision was performed after local debridement. Histology confirmed a pyogenic granuloma. The postoperative course was favorable, with no recurrence until delivery.

Discussion conclusion

This case illustrates the classic features of pregnancy epulis. Proper management allows complete healing without recurrence.