Vegetable Granuloma – A Case Report

ABSTRACT

Introduction: Vegetable granuloma or pulse granulomaresults from the implantation of food particles of plant orvegetable origin and is usually seen in periapical or in sulcusareas. Many authors have postulated that food particleswhich are getting implanted will rapidly get digested, or maysometimes partly get altered by host responses resulting invegetable granuloma or pulse granuloma. The cellulose partof plant food being indigestible may persists in the form ofhyaline material, whereas the starch matter gets digested. Thiscellulose moiety invokes chronic granulomatous response.Case report 30-year-old female patient was referred from aprivate hospital for a swelling in relation to right side of cheekwhich they had noticed accidently on a radiograph which hadtaken during extraction of her tooth. Intraoral examinationwas negative for swelling, and on palpation a bony hardswelling of size 0.5cm ×0.5cm in relation to anterior border oframus can be located.Radiograph showed a mixed radiopaqueradiolucent lesion with predominant radiopacity of 1cm×1cmnear to external oblique ridge.Histopathology showed thepresence of concentric lamellated amorphous eosinophilicstructure surrounded by fibro cellular connective tissuecapsule.Conclusion: A pulse granuloma is nothing but a reaction ofthe foreign body to any vegetable which is characterized by acollection of the hyaline; pulse granuloma is a well describedentity with distinct histopathology. Occurrence of pulsegranuloma can be well documented if extensive sampling isdone.